Organization
SUNCOAST PHYSICAL MEDICINE OF NORTH TAMPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE QUINTANA (OFFICE MANAGER)
(813) 906-0000
Entity
Organization
Contact information
Practice address
3450 E FLETCHER AVE STE 320, TAMPA, FL 33613-4659
(813) 668-0000
(813) 668-0978
Mailing address
3450 E FLETCHER AVE STE 320, TAMPA, FL 33613-4659
(813) 668-0000
(813) 668-0978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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