| James A Mastellone | |
|
1807 S Kanner Hwy, Stuart, FL 34994-7204 | |
| (772) 287-4277 | |
| (772) 286-6912 |
| Full Name | James A Mastellone |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 1807 S Kanner Hwy, Stuart, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457572794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | CH4788 (Florida) | Primary |
| Provider Name | James A Mastellone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407957608 PECOS PAC ID: 5395840680 Enrollment ID: I20070522000590 |
| Mailing Address | Practice Location Address |
|---|---|
| James A Mastellone 1807 S Kanner Hwy, Stuart, FL 34994-7204 Ph: (772) 287-4277 | James A Mastellone 1807 S Kanner Hwy, Stuart, FL 34994-7204 Ph: (772) 287-4277 |
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