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1104418292
ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
ST PETERSBURG, FL
NPI
1104418292
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Entity Type
Organization
Authorized Contact
JOHN BROUSSARD
Owner
727-258-7224
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701-3480
Phone number: 727-258-7224
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Mailing Address
ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
111 2ND AVE NE STE 1401
ST PETERSBURG, FL 33701-3480
Phone number: 727-258-7224
Copy
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