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Organization
TC SPINE & SPORT PSL LLC
Active
Organization
TC SPINE & SPORT PSL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANOOSH ZIAYAN (CEO)
(774) 345-0116
Entity
Organization
Contact information
Practice address
573 NW LAKE WHITNEY PL STE 104, PORT SAINT LUCIE, FL 34986-1628
(772) 249-3331
Mailing address
573 NW LAKE WHITNEY PL STE 104, PORT SAINT LUCIE, FL 34986-1628
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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