Provider Demographics
NPI:1427248095
Name:CHIROPRACTIC CARE OF THE TREASURE COAST, P.A.
Entity type:Organization
Organization Name:CHIROPRACTIC CARE OF THE TREASURE COAST, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-220-9500
Mailing Address - Street 1:PO BOX 761
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-0761
Mailing Address - Country:US
Mailing Address - Phone:772-220-9500
Mailing Address - Fax:772-220-2042
Practice Address - Street 1:915 E OCEAN BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2426
Practice Address - Country:US
Practice Address - Phone:772-220-9500
Practice Address - Fax:772-220-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70331OtherMEDICARE PROVIDER