Organization
SUNCOAST PHYSICAL MEDICINE OF NORTH TAMPA LLC
Active
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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