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Life Chiropractic Center Pa
Chiropractor in Port St Lucie, Florida
NPI 1639363310

Life Chiropractic Center Pa is a Chiropractor based in Port St Lucie, FL. Life Chiropractic Center Pa practices in Port St Lucie, FL. The NPI Number for Life Chiropractic Center Pa is 1639363310 and holds a License No. CH8717 (Florida).

The current practice location address for Life Chiropractic Center Pa is 1230 Se Port St Lucie Blvd, Port St Lucie, FL and can be reached out via phone at 772-398-8888.

Location: 1230 Se Port St Lucie Blvd, Port St Lucie, FL, 34952-5330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639363310
Provider Name
Life Chiropractic Center Pa
Credential
Provider Entity Type
Organization
Address
1230 Se Port St Lucie Blvd, Port St Lucie, FL, 34952-5330
Phone Number
772-398-8888
Fax Number
Provider Enumeration Date
09/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74769 01 FL BLUE CROSS BLUE SHIELD
381887000 05 FL
institution
Provider Business Practice Location Address Details
Address
1230 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5330
Phone Number
772-398-8888
Fax Number
person
Provider Business Mailing Address Details
Address
1230 Se Port St Lucie Blvd
City
Port St Lucie
State
Florida
Zip
34952-5330
Phone Number
772-398-8888
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH8717 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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