Healthcare Provider Details

I. General information

NPI: 1295039840
Provider Name (Legal Business Name): NARSON-KASSAY CHIROPRACTIC, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SW PALM CITY RD
STUART FL
34994-2849
US

IV. Provider business mailing address

1000 SW PALM CITY RD
STUART FL
34994-2849
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-8555
  • Fax:
Mailing address:
  • Phone: 772-286-8555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH6663
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH6717
License Number StateFL

VIII. Authorized Official

Name: DAVID P KASSAY
Title or Position: OWNER/DOCTOR
Credential: D.C.
Phone: 772-286-8555