| Harbour Medical Centers | |
|
1411 Se Ocean Blvd, Stuart, FL 34996-2651 | |
| (772) 781-1101 | |
| (772) 781-1141 |
| Full Name | Harbour Medical Centers |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1411 Se Ocean Blvd, 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 |
|---|---|---|---|
| 1477030732 | NPI | - | NPPES |
| 55523 | Other | FL | MEDICARE PTAN |
| 350041521 | Other | FL | RAILROAD MEDICARE PTAN |
| 1790716058 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH7269 (Florida) | Primary |
| Provider Name | William J Wiedner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790716058 PECOS PAC ID: 8729266358 Enrollment ID: I20110629000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Harbour Medical Centers 1411 Se Ocean Blvd, Stuart, FL 34996-2651 Ph: (772) 781-1101 | Harbour Medical Centers 1411 Se Ocean Blvd, Stuart, FL 34996-2651 Ph: (772) 781-1101 |
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