LIFE CHIROPRACTIC CENTER PA
Chiropractic at Port St Lucie Blvd, Fort Pierce, FL

License number
Florida CH8717
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. MARTIN NATHANIEL RUKEYSER D.C.
Title: CLINIC DIRECTOR
Phone: (772) 398-8888
Address
Address
1230 SE Port St Lucie Blvd, Fort Pierce, FL 34952
National Provider ID: 1639363310
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIFE CHIROPRACTIC CENTER, PA

1230 SE Prt St Lucie Blvd, Port Saint Lucie, FL 34952

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Feb 16, 2004
Inactive since:
Jan 31, 2012
Phone:
(772) 398-8888 (Phone)
State ID:
P04000033168
Business type:
Florida Profit Corporation
President, Chiropractor, Dc, Medical Director, Director:
Martin N Rukeyser (President, Chiropractor, Dc, Medical Director, Director), 2320 NW Bay Colony Dr, Stuart, FL 34994 (Physical)
Agent:
Martin Rukeyser,2320 NW Bay Colony Dr, Stuart, FL 34994 (Physical)
EIN:
571198769

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