Organization
ACTIVE RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A GRAND D.C. (PRESEDENT)
(772) 283-3456
Entity
Organization
Contact information
Practice address
721 COLORADO AVE, STUART, FL 34994-3017
(772) 283-3456
(772) 283-6789
Mailing address
721 COLORADO AVE, STUART, FL 34994-3017
(772) 283-3456
(772) 283-6789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8588
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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