1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER INC
Medical Practice at Letap Ct, Land O Lakes, FL

License number
Florida CH8357
Category
Chiropractic
Type
Chiropractor
License number
Florida ME114962
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. JORGE LUIS SANTANA D.C.
Title: OWNER/DOCTOR
Phone: (813) 448-2222
Address
Address
2718 Letap Ct, Land O Lakes, FL 34638
National Provider ID: 1235481524
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER, INC

2718 Letap Ct SUITE 101, Land O Lakes, FL 34638

Registration:
Dec 6, 2012
State ID:
P12000099650
Business type:
Florida Profit Corporation
Presidents:
Santana, Jorge L., Dr, 2718 Letap Ct, Land O Lakes, FL 34638 (Physical),Jorge L. Santana (President)
Agent:
Santana, Jorge L, Dr,2718 Letap Ct SUITE 101, Land O Lakes, FL 34638 (Physical)
EIN:
46-1139958

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