Individual
DR. GEORGE HOWARD BLACKWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5536
(772) 335-3110
(772) 398-0704
Mailing address
1967 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5536
(772) 335-3110
(772) 398-0704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12778
FL
Other
Enumeration date
04/03/2019
Last updated
06/11/2022
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