Healthcare Provider Details

I. General information

NPI: 1427397694
Provider Name (Legal Business Name): ADIO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 03/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5604 PGA BLVD SUITE C107
PALM BEACH GARDENS FL
33418-3831
US

IV. Provider business mailing address

5604 PGA BLVD SUITE C107
PALM BEACH GARDENS FL
33418-3831
US

V. Phone/Fax

Practice location:
  • Phone: 561-625-5422
  • Fax: 561-625-5425
Mailing address:
  • Phone: 561-625-5422
  • Fax: 561-625-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10705
License Number StateFL

VIII. Authorized Official

Name: DR. JUSTIN BARTLETT
Title or Position: PRESIDENT
Credential: D.C.
Phone: 561-625-5422