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NPI Code Detail

MEDICARE: PHYSICIANS CHOICE TREATMENT CENTERS

MEDICARE: PHYSICIANS CHOICE TREATMENT CENTERS
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
1111N00000XChiropractorCH8321FL

General Provider Information

NPI Number : 1124403076
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS CHOICE TREATMENT CENTERS
Provider Business Mailing Address
First Line : 2904 W COLUMBUS DR
Second Line : SUITE C
City : TAMPA
State : FL
Zip : 33607-2207
Country : US
Telephone Number : 813-359-1800
Fax Number : 813-879-7479
Provider Business Practice Location Address
First Line : 2904 W COLUMBUS DR
Second Line : SUITE C
City : TAMPA
State : FL
Zip : 33607-2207
Country : US
Telephone Number : 813-359-1800
Fax Number : 813-879-7479
Authorized Official
Title or Position : PRESIDENT
Name : MARDI ANN BUCHANAN
Credential :
Telephone Number : 813-335-8144
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/21/2015

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Directions to “PHYSICIANS CHOICE TREATMENT CENTERS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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