Sheffield T Abood, D.C.

Individual provider Active NPI Chiropractor · Port St Lucie, FL

NPI 1083739445 · NPPES record last updated Apr 27, 2009

Key facts

NPI
1083739445
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CH8854 (FL)
Practice address
264 NW Peacock Blvd
Ste 104
Port St Lucie, FL 34986-2272
Phone
(772) 621-4500
Fax
(772) 621-4608
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8854 FL Yes
Radiology Chiropractor 111NR0200X CH8854 FL
Rehabilitation Chiropractor 111NR0400X CH8854 FL

Addresses

Primary practice location

264 NW Peacock Blvd
Ste 104
Port St Lucie, FL 34986-2272

Mailing address

264 NW Peacock Blvd
Ste 104
Port St Lucie, FL 34986-2272
Phone (772) 621-4500

Other identifiers

IdentifierTypeStateIssuer
89624OtherFLBC/BS/FL

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.