Organization
TOTAL BACK AND BODY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY M MEREDITH DC (OWNER)
(772) 878-9355
Entity
Organization
Contact information
Practice address
1228 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5330
(772) 878-9355
(772) 398-4988
Mailing address
1228 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5330
(772) 878-9355
(772) 398-4988
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH0006729
FL
Other
Enumeration date
06/25/2010
Last updated
10/06/2020
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