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GUDEMAN CHIROPRACTIC HEALTH CENTER PA NPI 1043503378


NPI Information

NPI: 1043503378
Provider Name: GUDEMAN CHIROPRACTIC HEALTH CENTER, PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
562 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984
Phone: (772) 340-2330
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GUDEMAN CHIROPRACTIC HEALTH CENTER, PA is a chiropractor in Port Saint Lucie, 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. GUDEMAN CHIROPRACTIC HEALTH CENTER, PA NPI is 1043503378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

562 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984-108
Phone: (772) 340-2330
Fax: (772) 340-2331

The provider's authorized official is Matthew John Gudeman .
The authorized official title is President and has the following contact phone number (772) 340-2330.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 5/19/2011.


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
1111N00000XChiropractorCH5573FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T85320MEDICARE UPINFLORIDA
222260MEDICARE PINFLORIDA

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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