Provider Demographics
NPI:1962703405
Name:INDUSTRIAL HEALTH SOLUTIONS, P.A.
Entity type:Organization
Organization Name:INDUSTRIAL HEALTH SOLUTIONS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HANSBROUGH
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:772-285-2133
Mailing Address - Street 1:11764 SW VALENCIA CT
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990
Mailing Address - Country:US
Mailing Address - Phone:772-285-2133
Mailing Address - Fax:772-219-8113
Practice Address - Street 1:500 SE DIXIE HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-287-7701
Practice Address - Fax:772-220-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP96000078922111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty