Organization · NPI-2
100 Percent Chiropractic Tampa 1, LLC
Chiropractor · Tampa, FL
NPI number1902235732
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1902235732
- Entity type
- Organization (NPI-2)
- Legal business name
- 100 Percent Chiropractic Tampa 1, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2013
- Certification date
- May 12, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH10163 | FL | Yes |
Other names
- 100 Percent Tampa 1, LLC (Other Name)
Practice location
9906 W Linebaugh AveTampa, FL 33626-1858
Phone 813-510-3986
Mailing address
9906 W Linebaugh AveTampa, FL 33626-1858
Phone 813-510-3986
Authorized official
Pedro Rosado
Chiropractor
8135103986
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