Organization
ABL INTEGRATED HEALTH CENTER PSL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TUCKER BERARD DC (PRESIDENT)
(772) 879-3255
Entity
Organization
Contact information
Practice address
549 NW LAKE WHITNEY PL, SUITE 103, PORT ST LUCIE, FL 34986-1606
(772) 879-3255
(772) 879-3257
Mailing address
286 S UNIVERSITY DR, PLANTATION, FL 33324-3341
(954) 452-4600
(954) 452-4652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8191
FL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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