Individual
DR. ERMIYAS HABTEAB GHEBRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6708 MIRROR LAKE AVE, TAMPA, FL 33634-1065
(813) 454-3377
Mailing address
6708 MIRROR LAKE AVE, TAMPA, FL 33634-1065
(813) 454-3377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14096
FL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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