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Organization
LARUSSO DC PA OF WELLINGTON
Active
Organization
LARUSSO DC PA OF WELLINGTON
Active
Other names
Family Chiropractic Center of Wellington
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE D LARUSSO DC (PRESIDENT)
(561) 793-4700
Entity
Organization
Contact information
Practice address
13860 WELLINGTON TRCE, SUITE # 13, WELLINGTON, FL 33414-8588
(561) 793-4700
(561) 793-5504
Mailing address
13860 WELLINGTON TRCE, SUITE # 13, WELLINGTON, FL 33414-8588
(561) 793-4700
(561) 793-5504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350055830
RAILROAD MEDICARE
FL
05
—
382188900
—
FL
01
—
88377A
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/22/2005
Last updated
04/23/2008
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