Advanced Wellness & Sports Rehab, Llc

NPI 1134481005 - Chiropractor - 111NS0005X

NPI Details
NPI 1134481005
Enumeration Date 06/15/2012
Last Updated 08/31/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PHILIP A PHILIP
Position OWNER
Phone (724) 875-2460
Fax
Practice Location
6120 53RD AVE E
BRADENTON FL, 34203-9707, US
Phone (724) 875-2460
Fax
Business Location
6120 53RD AVE E
BRADENTON FL, 34203-9707, US
Phone (724) 875-2460
Fax
Toxanomy
Taxonomy Code 111NS0005X
License State Florida
License Number CH10458
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According to our database, Advanced Wellness & Sports Rehab, Llc NPI is 1134481005, taxonomy code is 111NS0005X and license number is CH10458, license state is located at Florida. Advanced Wellness & Sports Rehab, Llc physically located at 6120 53rd Ave E, Bradenton FL, 34203-9707. NPI Number 1033115704 has the healthcare provider type.

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1134481005 NPI number is provided on an as is basis without warranty of any kind. 1134481005 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Wellness & Sports Rehab, Llc are for informational purposes only.