CON-40 WELLNESS CENTER INC. NPI 1063558666

NPI Information

CON-40 WELLNESS CENTER INC. is a chiropractor in Tampa, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CON-40 WELLNESS CENTER INC. NPI is 1063558666. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Benttree Clinic.

The provider's business location address is:

10935 N DALE MABRY
TAMPA, FL
ZIP 33618-112
Phone: (813) 969-2225
Fax: (813) 960-3176

The provider's authorized official is Damien E Rogers .
The authorized official title is Director and has the following contact phone number (813) 969-2225.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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