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Organization
DISC CENTER OF PORT ST LUCIE LLC
Active
Organization
DISC CENTER OF PORT ST LUCIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRASSAM DC (MANAGER)
(772) 237-2080
Entity
Organization
Contact information
Practice address
555 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1623
(772) 237-2080
Mailing address
555 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
12/01/2022
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