True Vine Chiropractic Pa | |
6743 W Indiantown Rd Ste 37, Jupiter, FL 33458-3987 | |
(561) 401-0915 | |
Not Available |
Full Name | True Vine Chiropractic Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 6743 W Indiantown Rd Ste 37, Jupiter, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407380868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 10901 (Florida) | Primary |
Provider Name | Kevin M Kustarz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730528092 PECOS PAC ID: 1456661263 Enrollment ID: I20151106001691 |
Mailing Address | Practice Location Address |
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True Vine Chiropractic Pa 6743 W Indiantown Rd Ste 37, Jupiter, FL 33458-3987 Ph: (561) 401-0915 | True Vine Chiropractic Pa 6743 W Indiantown Rd Ste 37, Jupiter, FL 33458-3987 Ph: (561) 401-0915 |
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