Organization
HANSBROUGH CENTER FOR FUNCTIONAL NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH HANSBROUGH DC (DIRECTOR)
(772) 287-7701
Entity
Organization
Contact information
Practice address
19 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 287-7701
(772) 220-4473
Mailing address
19 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 287-7701
(772) 220-4473
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH3653
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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