# BOULEVARD FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568735017
- **Authorized official:** STEVE LINN (OWNER/ PRESIDENT CEO)
- **Authorized official phone:** (772) 249-6973

## Contact information

- **Practice address:** 201 SW PORT ST LUCIE BLVD, SUITE 204, PORT ST LUCIE, FL 34984-5023
- **Practice address phone:** (772) 249-6973
- **Mailing address:** 201 SW PORT ST LUCIE BLVD, SUITE 204, PORT ST LUCIE, FL 34984-5023
- **Mailing address phone:** (772) 249-6973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | FL | Yes |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 02/14/2012