EXPANSE BIOINNOVATION, LLC

LUTZ, FL
NPI1891651717
Entity TypeOrganization
Authorized ContactJOSHUA MICHAEL MANSAVAGE
Administrator
813-230-2625
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2026-01-05
Last Update Date2026-07-02
Business Address
EXPANSE BIOINNOVATION, LLC
210 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6460
Phone number: 813-364-6522
Mailing Address
EXPANSE BIOINNOVATION, LLC
210 CRYSTAL GROVE BLVD
LUTZ, FL 33548-6460
Phone number: 813-364-6522
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