Organization
FLORIDA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. MAIER D.C. (OWNER)
(772) 878-6500
Entity
Organization
Contact information
Practice address
1944 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5510
(772) 878-6500
(772) 878-6501
Mailing address
1944 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5510
(772) 878-6500
(772) 878-6501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH0007060
FL
111N00000X
Chiropractor
Primary
CH7659
FL
Other
Enumeration date
07/28/2006
Last updated
04/23/2019
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