Organization
AWAKEN CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA KUSTARZ DC (SECRETARY)
(772) 763-1311
Entity
Organization
Contact information
Practice address
544 NW UNIVERSITY BLVD STE 103, PORT ST LUCIE, FL 34986-2283
(772) 763-1311
Mailing address
544 NW UNIVERSITY BLVD STE 103, PORT ST LUCIE, FL 34986-2283
(772) 763-1311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
06/09/2022
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