Organization
BLUE EYED OCEAN PLLC
Active
Other names
Hackett Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY L HACKETT A.P., DOM, L.AC. (PRESIDENT)
(561) 632-4777
Entity
Organization
Contact information
Practice address
108 INTRACOASTAL POINTE DR, SUITE 100, JUPITER, FL 33477-5036
(561) 632-4777
Mailing address
1605 S US HIGHWAY 1, UNIT E102, JUPITER, FL 33477-8436
(561) 632-4777
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP3428
FL
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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