Matthew John Gudeman in Port St Lucie - Chiropractor
Matthew John Gudeman - NPI 1912064502
Matthew John Gudeman is a Chiropractor in Port St Lucie, Florida. Matthew John Gudeman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Matthew John Gudeman is 1912064502. The last update date is 2007-07-08.
Matthew John Gudeman's current location address is 267 Sw Port St Lucie Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7723402330. The mailing address for Matthew John Gudeman is 267 Sw Port St Lucie Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew John Gudeman |
|---|---|
| Address | 267 Sw Port St Lucie Blvd, Port St Lucie, Florida |
| Phone Number | 7723402330 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1912064502 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 267 Sw Port St Lucie Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349845015 |
| Phone Number | 7723402330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH5573 |
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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 |
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What is the Matthew John Gudeman's unique identification number?
The Matthew John Gudeman has been assigned the NPI (National Provider Identifier) Number 1912064502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Matthew John Gudeman?
The Matthew John Gudeman is situated at 267 Sw Port St Lucie Blvd, in the city of Port St Lucie, state of FL, with the zip code 349845015.
What is Matthew John Gudeman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew John Gudeman's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Matthew John Gudeman receive the assignment of its 1912064502 from the Centers for Medicare & Medicaid Services?
The Matthew John Gudeman was issued its 1912064502 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date was the information regarding Matthew John Gudeman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew John Gudeman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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