Provider Demographics
NPI:1770341513
Name:STUART MCCRANELS DC INC
Entity type:Organization
Organization Name:STUART MCCRANELS DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCRANELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-766-2194
Mailing Address - Street 1:PO BOX 1582
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32902-1582
Mailing Address - Country:US
Mailing Address - Phone:407-766-2194
Mailing Address - Fax:
Practice Address - Street 1:476 GATEWAY DR
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-2652
Practice Address - Country:US
Practice Address - Phone:407-766-2194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty