INJURY WELLNESS CLINIC INC
Chiropractic at Waters Ave, Tampa, FL

License number
Florida CH10655
Category
Chiropractic
Type
Chiropractor
Owner
Name: PHU DUC TRAN DC
Title: PRESIDENT
Phone: (813) 374-2345
Address
Address
4040 W Waters Ave SUITE 107, Tampa, FL 33614
National Provider ID: 1215305214
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INJURY WELLNESS CLINIC INC

Tampa, FL

Registration:
Jul 1, 2015
Addresses:
4040 W Waters Ave 107, Tampa, FL 33614 (Physical)
4040 W Waters Ave SUITE 107, Tampa, FL 33614 (Mailing)
State ID:
P15000057002
Business type:
Florida Profit Corporation
Phu D Tran, 5501 67 Ave #10, Pinellas Park, FL 33781 (Physical)
Agent:
Phu Tran,5501 67 Ave N APT #10, Pinellas Park, FL 33781 (Physical)
FEI/EIN:
NONE

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