Disc Center of Port St Lucie LLC

NPI #1992421002 in Port St Lucie, Florida

Provider Information

NPI Number: 1992421002
Entity Type: Organization
Organization Name: Disc Center of Port St Lucie LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 19, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 555 NW LAKE WHITNEY PL STE 105
City: Port St Lucie
State: Florida
ZIP Code: 34986-1623
Phone: (772) 237-2080

Authorized Official

Name: DR. JOHN GRASSAM, DC
Title: MANAGER
Phone: (772) 237-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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