Organization · NPI-2

A&G Medical Center INC

Chiropractor · Tampa, FL

NPI number1407809965
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1407809965
Entity type
Organization (NPI-2)
Legal business name
A&G Medical Center INC
Organization subpart
No
Enumeration date
May 18, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

4311 W Waters Ave
Suite 590
Tampa, FL 33614-1901

Phone 813-249-9262

Mailing address

4311 W Waters Ave
Suite 590
Tampa, FL 33614-1901

Phone 813-249-9262

Authorized official

Ibis Gomez
President
8132499262

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