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Organization
SEACOAST CLINIC OF CHIROPRACTIC INC
Active
Organization
SEACOAST CLINIC OF CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA J VISLOCKY DC (VICE PRESIDENT)
(772) 418-1551
Entity
Organization
Contact information
Practice address
149 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5017
(772) 621-7777
(772) 621-3825
Mailing address
149 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5017
(772) 621-7777
(772) 621-3825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9980
FL
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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