Treasure Coast Injury And Wellness Centre

NPI 1205087749 - Chiropractor - 111N00000X

NPI Details
NPI 1205087749
Enumeration Date 10/02/2008
Last Updated 11/17/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHANNON A SHANNON
Position PRESIDENT/OWNER/PHYSICIAN
Phone (772) 978-9916
Fax (772) 978-9918
Practice Location
600 N US HIGHWAY 1
FORT PIERCE FL, 34950-3072, US
Phone (772) 978-9916
Fax (772) 978-9918
Business Location
600 N US HIGHWAY 1
FORT PIERCE FL, 34950-3072, US
Phone (772) 978-9916
Fax (772) 978-9918
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH7473
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According to our database, Treasure Coast Injury And Wellness Centre NPI is 1205087749, taxonomy code is 111N00000X and license number is CH7473, license state is located at Florida. Treasure Coast Injury And Wellness Centre physically located at 600 N Us Highway 1, Fort Pierce FL, 34950-3072. NPI Number 1033115704 has the healthcare provider type.

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1205087749 NPI number is provided on an as is basis without warranty of any kind. 1205087749 is maintained by the National Plan & Provider Enumeration System. The contents of Treasure Coast Injury And Wellness Centre are for informational purposes only.