Gudeman Chiropractic Health Center, Pa

NPI 1043503378 - Chiropractor - 111N00000X

NPI Details
NPI 1043503378
Enumeration Date 05/19/2011
Last Updated 05/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MATTHEW JOHN MATTHEW
Position PRESIDENT
Phone (772) 340-2330
Fax (772) 340-2331
Practice Location
562 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE FL, 34984-5108, US
Phone (772) 340-2330
Fax (772) 340-2331
Business Location
562 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE FL, 34984-5108, US
Phone (772) 340-2330
Fax (772) 340-2331
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH5573
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According to our database, Gudeman Chiropractic Health Center, Pa NPI is 1043503378, taxonomy code is 111N00000X and license number is CH5573, license state is located at Florida. Gudeman Chiropractic Health Center, Pa physically located at 562 Se Port St Lucie Blvd, Port Saint Lucie FL, 34984-5108. NPI Number 1033115704 has the healthcare provider type.

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1043503378 NPI number is provided on an as is basis without warranty of any kind. 1043503378 is maintained by the National Plan & Provider Enumeration System. The contents of Gudeman Chiropractic Health Center, Pa are for informational purposes only.