Organization
MUSCLE INJECTION THERAPIES OF THE TREASURE COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA M KOEHNE (MANAGER)
(772) 882-1632
Entity
Organization
Contact information
Practice address
201 NW SAINT JAMES DR, PORT ST LUCIE, FL 34983-1291
(772) 882-1632
Mailing address
201 NW SAINT JAMES DR, PORT ST LUCIE, FL 34983-1291
(772) 882-1632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AP1293
FL
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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