| Absolute Healthcare Advanced Chiropractic P A | |
|
1973 Sw Savage Blvd 111 Port St Lucie FL 34953-2791 | |
| (772) 344-4890 | |
| (772) 286-1448 |
| Full Name | Absolute Healthcare Advanced Chiropractic P A |
|---|---|
| Speciality | Clinic/Center |
| Location | 1973 Sw Savage Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Joseph L Pate (DIRECTOR) |
| Authorized Official Contact | 7723444890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Healthcare Advanced Chiropractic P A 1973 Sw Savage Blvd 111 Port St Lucie FL 34953-2791 Ph: (772) 344-4890 | Absolute Healthcare Advanced Chiropractic P A 1973 Sw Savage Blvd 111 Port St Lucie FL 34953-2791 Ph: (772) 344-4890 |
| NPI Number | 1962677260 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 07/11/2008 |
| Medicare PECOS PAC ID | 3173696523 |
|---|---|
| Medicare Enrollment ID | O20080718000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962677260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CH 9533 (Florida) | Primary |
| Provider Name | Joseph L Pate |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700064698 PECOS PAC ID: 2466525811 Enrollment ID: I20080718000364 |
| Provider Name | Laura M Pate |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871765040 PECOS PAC ID: 5395811053 Enrollment ID: I20080903000301 |
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