RADICE FAMILY CHIROPRACTIC, P.A.
Chiropractic at Dale Mabry Hwy, Lutz, FL

License number
Florida CH8619
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. MICHAEL FRANK RADICE D.C
Title: OWNER/CHIROPRACTOR
Phone: (813) 968-9411
Address
Address
18514 Dale Mabry Hwy N, Lutz, FL 33548
National Provider ID: 1205068202
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RADICE FAMILY CHIROPRACTIC, PA

Lutz, FL

Status:
Inactive
Industry:
Chiropractor's Office
Inactive reason:
Reinstatement
Registration:
Aug 28, 2003
Inactive since:
Oct 9, 2013
Addresses:
18514 N Dl Mabry Hwy, Lutz, FL 33548 (Physical)
18514 Nale Mabry Hwy, Lutz, FL 33548
State ID:
P03000084694
Business type:
Florida Profit Corporation
Chief Executive Officer, Chiropractor, Dc, Owners:
Michael F Radice (Director), 18514 N Dl Mabry Hwy, Lutz, FL 33548 (Physical),Mike Radice (Chief Executive Officer, Chiropractor, Dc, Owner)
Agent:
Michael Radice,18514 N Dl Mabry Hwy, Lutz, FL 33548 (Physical)
EIN:
010793574

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