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Organization

WIEDNER FAMILY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. OLGA VEIGA (INSURANCE)
(772) 781-1101
Entity
Organization

Contact information

Practice address
931 SE OCEAN BLVD STE C, STUART, FL 34994-2425
(772) 781-1101
(772) 781-1141
Mailing address
931 SE OCEAN BLVD STE C, STUART, FL 34994-2425
(772) 781-1101
(772) 781-1141

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH7269
FL
261QP2000X
Physical Therapy Clinic/Center
CH7269
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350041521
RAILROAD MEDICARE PTAN
FL
01
55523
MEDICARE PTAN
FL
Enumeration date
12/14/2015
Last updated
12/14/2015
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