Organization
ACTIVE LIFE CHIROPRACTIC, PLLC
Active
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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