Provider Demographics
NPI:1831290188
Name:LUBET, CARY RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:RICHARD
Last Name:LUBET
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 1:4465 NW ALSACE AVE
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-8338
Mailing Address - Country:US
Mailing Address - Phone:772-344-6475
Mailing Address - Fax:772-464-2447
Practice Address - Street 1:1107 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4048
Practice Address - Country:US
Practice Address - Phone:772-464-2200
Practice Address - Fax:772-464-2447
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor