| NPI | 1659713402 |
|---|---|
| Doing Business As | HEALTHSOURCE OF STUART |
| Entity Type | Organization |
| Authorized Contact | ALYSSA KENYON CEO 772-286-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-08-20 |