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Organization

HANDS ON PERFORMANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL T KELLY DC (OWNER)
(772) 342-4612
Entity
Organization

Contact information

Practice address
1430 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL 34986-2134
(772) 785-8500
Mailing address
1430 SW SAINT LUCIE WEST BLVD, SUITE 103, PORT ST LUCIE, FL 34986-2134
(772) 785-8500

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
08/28/2012
Last updated
08/30/2012
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  • EDI platform