Organization
DISC CENTER OF PORT ST LUCIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRASSAM DC (MANAGER)
(772) 237-2080
Entity
Organization
Contact information
Practice address
555 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1623
(772) 237-2080
Mailing address
555 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
12/01/2022
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