Diesel Health And Recovery, LLC.
Preventive Medicine, Sports Medicine in Tampa, FL. Organization (NPI-2).
NPI number1447923099
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1447923099
- Entity type
- Organization (NPI-2)
- Legal business name
- Diesel Health And Recovery, LLC.
- Organization subpart
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083S0010X | Preventive Medicine, Sports Medicine | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
1202 West Carmen StreetTampa, FL 33606-1303
Phone 813-254-3707 · Fax 813-337-0357
Mailing address
1202 West Carmen StreetTampa, FL 33606-1303
Phone 813-254-3707 · Fax 813-337-0357
Authorized official
Jamie Lynne Brunet
Owner
8132543707
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