Provider Demographics
NPI:1699321125
Name:NEELD FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:NEELD FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-777-2246
Mailing Address - Street 1:1850 SW FOUNTAINVIEW BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-4527
Mailing Address - Country:US
Mailing Address - Phone:772-777-2246
Mailing Address - Fax:772-905-4869
Practice Address - Street 1:1850 SW FOUNTAINVIEW BLVD STE 202
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-4527
Practice Address - Country:US
Practice Address - Phone:772-777-2246
Practice Address - Fax:772-905-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty