Organization
B3 SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BAIN DC (OWNER)
(813) 574-2460
Entity
Organization
Contact information
Practice address
1868 HIGHLAND OAKS BLVD STE B, LUTZ, FL 33559-7413
(813) 574-2460
(813) 949-5001
Mailing address
1868 HIGHLAND OAKS BLVD STE B, LUTZ, FL 33559-7413
(813) 574-2460
(813) 949-5001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8562
FL
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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