Coastal Family Chiropractic Pa in Port St Lucie - Chiropractor
Coastal Family Chiropractic Pa - NPI 1689636177
Coastal Family Chiropractic Pa is a Chiropractor in Port St Lucie, Florida. Coastal Family Chiropractic Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Coastal Family Chiropractic Pa is 1689636177. The last update date is 2020-08-22.
Coastal Family Chiropractic Pa's current location address is 10504 S Federal Hwy, Port St Lucie, Florida. You can contact this provider via phone number 7723372748 and fax number 7723371764. The mailing address for Coastal Family Chiropractic Pa is 10504 S Federal Hwy, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Family Chiropractic Pa |
|---|---|
| Address | 10504 S Federal Hwy, Port St Lucie, Florida |
| Phone Number | 7723372748 |
| Fax Number | 7723371764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leach Andrew |
| Credentials | DC |
| Telephone Number | 7723372748 |
NPI Number Detail
| NPI Number | 1689636177 |
|---|---|
| Provider Enumeration Date | 2006-04-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10504 S Federal Hwy |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349525603 |
| Phone Number | 7723372748 |
| Fax Number | 7723371764 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH0008232 |
|
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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97454 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Coastal Family Chiropractic Pa by the Centers for Medicare & Medicaid Services?
The Coastal Family Chiropractic Pa has been issued the NPI (National Provider Identifier) 1689636177, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Coastal Family Chiropractic Pa's facilities are situated?
The facilities of Coastal Family Chiropractic Pa are physically located at the following address: 10504 S Federal Hwy, Port St Lucie, FL, 349525603.
What is the Coastal Family Chiropractic Pa's area of specialization and corresponding taxonomy classification?
The Coastal Family Chiropractic Pa's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689636177 to Coastal Family Chiropractic Pa?
The Centers for Medicare & Medicaid Services originally issued the 1689636177 to Coastal Family Chiropractic Pa on 2006-04-03.
As of what date were the Coastal Family Chiropractic Pa's details last updated?
The information pertaining to the Coastal Family Chiropractic Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.