Treasure Coast Spine Institute, Llc | |
6140 Se Federal Hwy, Stuart, FL 34997-8105 | |
(772) 260-5555 | |
(772) 872-5205 |
Full Name | Treasure Coast Spine Institute, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 6140 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 |
---|---|---|---|
1558695866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH7645 (Florida) | Primary |
Provider Name | Cynthia M Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972663169 PECOS PAC ID: 7810036472 Enrollment ID: I20091120000479 |
Mailing Address | Practice Location Address |
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Treasure Coast Spine Institute, Llc 6140 Se Federal Hwy, Stuart, FL 34997-8105 Ph: (772) 260-5555 | Treasure Coast Spine Institute, Llc 6140 Se Federal Hwy, Stuart, FL 34997-8105 Ph: (772) 260-5555 |
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