Organization
DR LEON GONYO DC PA
Active
Organization
DR LEON GONYO DC PA
Active
Other names
Stuart Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON D. GONYO D.C. (PRESIDENT)
(772) 781-0193
Entity
Organization
Contact information
Practice address
6096 SE FEDERAL HWY, STUART, FL 34997-8101
(772) 781-0193
(772) 781-0197
Mailing address
6096 SE FEDERAL HWY, STUART, FL 34997-8101
(772) 781-0193
(772) 781-0197
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AI167
MEDICARE PTAN
FL
Enumeration date
01/18/2008
Last updated
06/20/2008
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