Tampa Sport & Spine

NPI 1275933681 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275933681
Enumeration Date 09/04/2014
Last Updated 09/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TAYLOR JOURDAN TAYLOR
Position OWNER
Phone (813) 230-3607
Fax
Practice Location
949 BEVILLE RD
D5
SOUTH DAYTONA FL, 32119-1705, US
Phone (813) 230-3607
Fax
Business Location
170 ACKLINS CIR
APARTMENT 308
DAYTONA BEACH FL, 32119-9781, US
Phone (813) 230-3607
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Florida
License Number CH10885
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According to our database, Tampa Sport & Spine NPI is 1275933681, taxonomy code is 261Q00000X and license number is CH10885, license state is located at Florida. Tampa Sport & Spine physically located at 949 Beville Rd, South Daytona FL, 32119-1705. NPI Number 1033115704 has the healthcare provider type.

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1275933681 NPI number is provided on an as is basis without warranty of any kind. 1275933681 is maintained by the National Plan & Provider Enumeration System. The contents of Tampa Sport & Spine are for informational purposes only.