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NPI Code Detail

MEDICARE: MUA ASSOCIATES, L.L.C.

MEDICARE: MUA ASSOCIATES, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery PhysicianME88243FL
2111N00000XChiropractorCH8935FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11174514376OTHERNPI
21255494704OTHERNPI

General Provider Information

NPI Number : 1881848190
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUA ASSOCIATES, L.L.C.
Provider Business Mailing Address
First Line : 800 VIRGINIA AVE
Second Line : SUITE 54
City : FORT PIERCE
State : FL
Zip : 34982-5829
Country : US
Telephone Number : 772-466-9820
Fax Number : 772-466-9475
Provider Business Practice Location Address
First Line : 800 VIRGINIA AVE
Second Line : SUITE 54
City : FORT PIERCE
State : FL
Zip : 34982-5829
Country : US
Telephone Number : 772-466-9820
Fax Number : 772-466-9475
Authorized Official
Title or Position : PRESIDENT
Name : DR. KENNETH GILMORE
Credential : D.C.
Telephone Number : 772-466-9820
Provider Enumeration Date : 11/13/2008
Last Update Date : 12/12/2008

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Directions to “MUA ASSOCIATES, L.L.C. ” Practice Location

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