Organization
ACTIVE LIFE CHIROPRACTIC, PLLC
Active
Other names
Coast Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN IRVIN BROWN IV DC (OWNER)
(772) 873-8595
Entity
Organization
Contact information
Practice address
518 SE OSCEOLA ST, STUART, FL 34994-2322
(772) 873-8595
(772) 873-8597
Mailing address
518 SE OSCEOLA ST, STUART, FL 34994-2322
(772) 873-8595
(772) 873-8597
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH 11181
FL
Other
Enumeration date
08/18/2014
Last updated
04/24/2023
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