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Organization
TREASURE COAST CHIROPRACTIC, INC
Active
Organization
TREASURE COAST CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG JEFFREY ROTHSTEIN D.C. (PRESIDENT)
(772) 353-2740
Entity
Organization
Contact information
Practice address
5705 BUCHANAN DR, FORT PIERCE, FL 34982-3253
(772) 353-2740
Mailing address
5705 BUCHANAN DR, FORT PIERCE, FL 34982-3253
(772) 353-2740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4497
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730453903
NPI
—
01
—
FY498A
PTAN
—
Enumeration date
03/05/2012
Last updated
07/21/2016
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