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Organization
VITAL WELLNESS CHIROPRACTIC PA
Active
Organization
VITAL WELLNESS CHIROPRACTIC PA
Active
Other names
Vital Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON LEVENICK DC (CHIROPRACTIC PHYSICIAN)
(248) 207-0176
Entity
Organization
Contact information
Practice address
3543 SW CORPORATE PKWY, PALM CITY, FL 34990-8151
(772) 232-4091
Mailing address
931 SW ROMAINE LN, PORT ST LUCIE, FL 34953-3605
(248) 207-0176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013456359
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/03/2021
Last updated
06/03/2021
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