Healthcare Provider Details

I. General information

NPI: 1245832997
Provider Name (Legal Business Name): HURLEY HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4087 US HIGHWAY 1
ROCKLEDGE FL
32955-5352
US

IV. Provider business mailing address

4087 US HIGHWAY 1
ROCKLEDGE FL
32955-5352
US

V. Phone/Fax

Practice location:
  • Phone: 321-735-8102
  • Fax: 321-256-6455
Mailing address:
  • Phone: 321-735-8102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KEITH RYAN HURLEY
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 484-707-2385