Provider Demographics
NPI:1730400227
Name:OCEAN CHIROPRACTIC & HEALTH CENTER OF STUART
Entity type:Organization
Organization Name:OCEAN CHIROPRACTIC & HEALTH CENTER OF STUART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-781-9221
Mailing Address - Street 1:811 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2427
Mailing Address - Country:US
Mailing Address - Phone:772-781-9221
Mailing Address - Fax:772-781-9220
Practice Address - Street 1:811 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2427
Practice Address - Country:US
Practice Address - Phone:772-781-9221
Practice Address - Fax:772-781-9220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV04224Medicare UPIN