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OPTIMUM WELLNESS & SPINE REHABILITATION CENTER NPI 1023408655


NPI Information

NPI: 1023408655
Provider Name: OPTIMUM WELLNESS & SPINE REHABILITATION CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1805 S 25TH ST
FORT PIERCE, FL
ZIP 34947
Phone: (772) 448-8365
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OPTIMUM WELLNESS & SPINE REHABILITATION CENTER is a chiropractor in Fort Pierce, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. OPTIMUM WELLNESS & SPINE REHABILITATION CENTER NPI is 1023408655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 S 25TH ST
FORT PIERCE, FL
ZIP 34947-752
Phone: (772) 448-8365
Fax: (772) 448-8341

The provider's authorized official is Hermione B Jourdan .
The authorized official title is Owner and has the following contact phone number (561) 512-5198.

The enumeration date for this NPI number is 2/4/2015 and was last updated on 2/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH9971FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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