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Dr. Wallace C Wade, DC
Chiropractor in Tampa, Florida
NPI 1306855663

Wallace C Wade is a Chiropractor based in Tampa, FL. Wallace C Wade practices in Tampa, FL and has the professional credentials of DC. The NPI Number for Wallace C Wade is 1306855663 and holds a License No. CH4075 (Florida).

The current practice location address for Wallace C Wade is 12084 Anderson Rd, Tampa, FL and can be reached out via phone at 813-265-4135 and via fax at 813-265-3904.

Location: 12084 Anderson Rd, Tampa, FL, 33625-5682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306855663
Provider Name
Wallace C Wade
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12084 Anderson Rd, Tampa, FL, 33625-5682
Phone Number
813-265-4135
Fax Number
813-265-3904
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH4075 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
12084 Anderson Rd
City
Tampa
State
Florida
Zip
33625-5682
Phone Number
813-265-4135
Fax Number
813-265-3904
person
Provider Business Mailing Address Details
Address
12084 Anderson Rd
City
Tampa
State
Florida
Zip
33625-5682
Phone Number
813-265-4135
Fax Number
813-265-3904
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH4075 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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