TAMPA SPORT & SPINE

SOUTH DAYTONA, FL
NPI1275933681
Entity TypeOrganization
Authorized ContactTAYLOR JOURDAN LEVICK
Owner
813-230-3607
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: FL  CH10885)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
TAMPA SPORT & SPINE
949 BEVILLE RD D5
SOUTH DAYTONA, FL 32119-1705
Phone number: 813-230-3607
Mailing Address
TAMPA SPORT & SPINE
170 ACKLINS CIR APARTMENT 308
DAYTONA BEACH, FL 32119-9781
Phone number: 813-230-3607
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