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Organization
PREMIER WELLNESS CENTERS EAST LLC
Active
Organization
PREMIER WELLNESS CENTERS EAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M HORNE DC (CHIROPRACTOR)
(772) 879-8100
Entity
Organization
Contact information
Practice address
7043 S US HIGHWAY 1, SUITE 100, PORT ST LUCIE, FL 34952-1401
(772) 879-8100
(772) 879-8101
Mailing address
7043 S US HIGHWAY 1 STE 100, PORT ST LUCIE, FL 34952-1401
(772) 879-8100
(772) 879-8710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790119816
NPI
FL
Enumeration date
06/05/2014
Last updated
01/24/2019
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