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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