Individual
CARL JOHN ABENDROTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2100 SE OCEAN BLVD, SUITE 101, STUART, FL 34996-3332
(772) 223-7337
(772) 223-0305
Mailing address
2100 SE OCEAN BLVD, SUITE 101, STUART, FL 34996-3332
(772) 223-7337
(772) 223-0305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7777
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55897
BCBS PROVIDER ID
FL
01
—
650951021
TAX ID
FL
01
—
CH7777
STATE LICENSE
FL
Enumeration date
12/06/2006
Last updated
06/13/2008
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