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NPI Code Detail

MEDICARE: SIMPLE RELIEF HEALTH & WELLNESS CENTER LLC

MEDICARE: SIMPLE RELIEF HEALTH & WELLNESS CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH 6287FL

General Provider Information

NPI Number : 1770602112
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMPLE RELIEF HEALTH & WELLNESS CENTER LLC
Provider Business Mailing Address
First Line : 625 N WASHINGTON BLVD
Second Line :
City : SARASOTA
State : FL
Zip : 34236-4241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 625 N WASHINGTON BLVD
Second Line :
City : SARASOTA
State : FL
Zip : 34236-4241
Country : US
Telephone Number : 941-363-9000
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. ROBERT JOSEPH COIRO
Credential : D.C.
Telephone Number : 941-363-9000
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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Directions to “SIMPLE RELIEF HEALTH & WELLNESS CENTER LLC ” Practice Location

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