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Organization
TIMOTHY O'GRADY DC PA
Active
Organization
TIMOTHY O'GRADY DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J O'GRADY DC (PRESIDENT)
(772) 468-1000
Entity
Organization
Contact information
Practice address
2708 S US HIGHWAY 1, FORT PIERCE, FL 34982-5919
(772) 468-1000
(772) 468-1025
Mailing address
2708 S US HIGHWAY 1, FORT PIERCE, FL 34982-5919
(772) 468-1000
(772) 468-1025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH005451
FL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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