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Organization

ACCIDENT RECOVERY CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN GRAND D.O. (PRESIDENT)
(561) 729-7092
Entity
Organization

Contact information

Practice address
550 UNIVERSITY BLVD, STE 104, PORT ST. LUCIE, FL 34986
(561) 729-7092
Mailing address
PO BOX 16836, WEST PALM BEACH, FL 33416-6836

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8588
FL

Other

Enumeration date
11/04/2011
Last updated
11/04/2011
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