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Organization
MUA ASSOCIATES, L.L.C.
Active
Organization
MUA ASSOCIATES, L.L.C.
Active
Other names
Pain Management and Multi-Specialty Group of the Treasure Coast
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH GILMORE D.C. (PRESIDENT)
(772) 466-9820
Entity
Organization
Contact information
Practice address
800 VIRGINIA AVE, SUITE 54, FORT PIERCE, FL 34982-5829
(772) 466-9820
(772) 466-9475
Mailing address
800 VIRGINIA AVE, SUITE 54, FORT PIERCE, FL 34982-5829
(772) 466-9820
(772) 466-9475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8935
FL
207T00000X
Neurological Surgery Physician
ME88243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174514376
NPI
—
01
—
1255494704
NPI
—
Enumeration date
11/13/2008
Last updated
12/12/2008
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