| NPI | 1932616000 |
|---|---|
| Other Name | TAMPA ACTIVE HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS J ST HILAIRE Owner/Provider 813-955-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2023-10-12 |