Organization
HEALTH & WELLNESS CENTER OF PORT ST LUCIE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARE ZIEMBA D.C. (OWNER)
(772) 337-3141
Entity
Organization
Contact information
Practice address
433 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 337-3141
(772) 336-1160
Mailing address
433 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 337-3141
(772) 336-1160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3803511-00
—
FL
Enumeration date
05/12/2009
Last updated
05/12/2009
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