Organization · Type 2 NPI

Bain de Vie Cory Lake Isle LLC

Chiropractor · Tampa, FL

NPI number 1891053294 Active

Practice location

10311 Cross Creek Blvd, Suite E
Tampa, FL 33647-2989

Fax (813) 907-0220

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH8562 (FL)

Chiropractor: 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.

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About NPI 1891053294

Bain de Vie Cory Lake Isle LLC's National Provider Identifier is 1891053294, issued on Apr 24, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tampa, FL. The record was last updated on Apr 24, 2012.