Organization
BAIN DE VIE RIVERVIEW LLC
Active
Other names
Bain Complete Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY F BAIN DC (PRESIDENT)
(813) 907-9898
Entity
Organization
Contact information
Practice address
13021 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 907-9898
Mailing address
10323 CROSS CREEK BLVD, SUITE E, TAMPA, FL 33647-2988
(813) 907-9898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8562
FL
Other
Enumeration date
02/12/2013
Last updated
05/28/2013
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