Healthcare Provider Details

I. General information

NPI: 1851216402
Provider Name (Legal Business Name): CHIRO KATZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8980 S US HIGHWAY 1 STE 104
PORT ST LUCIE FL
34952-3482
US

IV. Provider business mailing address

8980 S US HIGHWAY 1 STE 104 STE 104
PORT ST LUCIE FL
34952-3482
US

V. Phone/Fax

Practice location:
  • Phone: 772-777-8187
  • Fax: 772-315-1747
Mailing address:
  • Phone: 772-279-8048
  • Fax: 772-315-1747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL KATZ
Title or Position: CHIROPRACTOR/PRESIDENT
Credential: D.C.
Phone: 772-279-8048