NPI | 1376889519 |
---|---|
Doing Business As | BAIN COMPLETE WELLNESS |
Entity Type | Organization |
Authorized Contact | TIMOTHY F. BAIN President 813-907-9898 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL me115880) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8562) |
225100000X Physical Therapist (Licence: FL pt20198) | |
Enumeration Date | 2012-12-17 |
Last Update Date | 2023-03-02 |