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ABL INTEGRATED HEALTH CENTER PSL PA NPI 1659655066


NPI Information

NPI: 1659655066
Provider Name: ABL INTEGRATED HEALTH CENTER PSL, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
549 NW LAKE WHITNEY PL
SUITE 103
PORT ST LUCIE, FL
ZIP 34986
Phone: (772) 879-3255
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ABL INTEGRATED HEALTH CENTER PSL, PA is a chiropractor in Port St Lucie, FL. The provider is 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. ABL INTEGRATED HEALTH CENTER PSL, PA NPI is 1659655066. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

549 NW LAKE WHITNEY PL
SUITE 103
PORT ST LUCIE, FL
ZIP 34986-606
Phone: (772) 879-3255
Fax: (772) 879-3257

The provider's authorized official is Jeffrey Tucker Berard .
The authorized official title is President and has the following contact phone number (772) 879-3255.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH8191FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
170255MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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