Organization
ST. LUCIE INJURY AND HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN PARKER SANDERS DC (CEO)
(772) 882-0701
Entity
Organization
Contact information
Practice address
4842 N KINGS HWY, FORT PIERCE, FL 34951-2243
(772) 882-0701
(888) 920-1114
Mailing address
4842 N KINGS HWY, FORT PIERCE, FL 34951-2243
(772) 882-0701
(888) 920-1114
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019857200
—
FL
01
—
8754334744
DOT ME#
—
Enumeration date
11/14/2017
Last updated
01/04/2021
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