Provider Demographics
NPI:1295570836
Name:ST-HILAIRE, JOANISTE (DC)
Entity type:Individual
Prefix:
First Name:JOANISTE
Middle Name:
Last Name:ST-HILAIRE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6685 FOREST HILL BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3357
Mailing Address - Country:US
Mailing Address - Phone:561-855-4354
Mailing Address - Fax:561-855-4437
Practice Address - Street 1:6685 FOREST HILL BLVD STE 210
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-3357
Practice Address - Country:US
Practice Address - Phone:561-855-4354
Practice Address - Fax:561-855-4437
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor