| Seaside Family Chiropractic Llc | |
|
6410 Se Federal Hwy, Stuart, FL 34997-8313 | |
| (772) 283-6387 | |
| Not Available |
| Full Name | Seaside Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6410 Se Federal 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 |
|---|---|---|---|
| 1841663473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH11663 (Florida) | Primary |
| Provider Name | Ronald Paul Deatrick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982156899 PECOS PAC ID: 8628351228 Enrollment ID: I20170206000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Family Chiropractic Llc 5042 Se Devenwood Way, Stuart, FL 34997-2155 Ph: (772) 283-6387 | Seaside Family Chiropractic Llc 6410 Se Federal Hwy, Stuart, FL 34997-8313 Ph: (772) 283-6387 |
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