Provider Demographics
NPI:1467762963
Name:MERRITT FAMILY CHIROPRACTIC CENTER OF HOBE SOUND INC
Entity Type:Organization
Organization Name:MERRITT FAMILY CHIROPRACTIC CENTER OF HOBE SOUND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-546-2282
Mailing Address - Street 1:12082 SE VULCAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-5536
Mailing Address - Country:US
Mailing Address - Phone:772-546-2282
Mailing Address - Fax:
Practice Address - Street 1:12082 SE VULCAN AVE
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-5536
Practice Address - Country:US
Practice Address - Phone:772-546-2282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22084Medicare PIN