| NPI | 1417602616 |
|---|---|
| Doing Business As | BAYSIDE SPINE AND PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | GEORGE TABIB President 813-749-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |