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Organization
REGENERATIVE MEDICAL GROUP FLORIDA
Active
Organization
REGENERATIVE MEDICAL GROUP FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE DONALD WHITELEY CHIROPRACTOR (OWNER)
(772) 207-7534
Entity
Organization
Contact information
Practice address
1400 SE GOLDTREE DR STE 105, PORT ST LUCIE, FL 34952-7582
(772) 207-7534
(772) 777-2837
Mailing address
1400 SE GOLDTREE DR STE 105, PORT ST LUCIE, FL 34952-7582
(772) 207-7534
(772) 777-2837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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