Mastellone Inc is a Sports Physician in Stuart, Florida. Mastellone Inc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Mastellone Inc is 1457572794. The last update date is 2020-08-22.
Mastellone Inc's current location address is 1807 S Kanner Hwy, Stuart, Florida. You can contact this provider via phone number 7722874277 and fax number 7722866912. The mailing address for Mastellone Inc is 1807 S Kanner Hwy, Stuart, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mastellone Inc |
|---|---|
| Address | 1807 S Kanner Hwy, Stuart, Florida |
| Phone Number | 7722874277 |
| Fax Number | 7722866912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mastellone A James |
| Credentials | DC |
| Telephone Number | 7722874277 |
NPI Number Detail
| NPI Number | 1457572794 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1807 S Kanner Hwy |
|---|---|
| City | Stuart |
| State | Florida (FL) |
| Post Code | 349947204 |
| Phone Number | 7722874277 |
| Fax Number | 7722866912 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH4788 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Mastellone Inc's 1457572794?
The Mastellone Inc's NPI (National Provider Identifier) Number is 1457572794. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mastellone Inc's physical address?
The Mastellone Inc is physically located at 1807 S Kanner Hwy, in the city of Stuart, FL, with the postal code 349947204.
What is Mastellone Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mastellone Inc is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
On what date did the Mastellone Inc receive its 1457572794 assignment from the Centers for Medicare & Medicaid Services?
The Mastellone Inc was assigned its 1457572794 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the Mastellone Inc's details last updated?
The information pertaining to the Mastellone Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.