Active Lifestyles Wellness & Performance Ctr

LBN: Active Lifestyles Wellness & Performance Ctr
Active Lifestyles Wellness & Performance Ctr is an health care organization with primary practice located at 1715 37Th Pl Third Floor, Vero Beach FL 32960-4502. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Active Lifestyles Wellness & Performance Ctr can be contacted via phone (772) 978-7379, or through Res, Giorgio G via phone (772) 978-7379.

Contact Information

Primary practice address
1715 37Th Pl Third Floor Vero Beach FL 32960-4502
Phone: (772) 978-7379
Fax: (772) 539-8515
Website:
Map and Directions
Authorized official contact:
Name: Res, Giorgio G D.C., P.T.
Phone: (772) 978-7379

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH9113 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT22446 Florida

Profile Details

NPI number 1154378875
LBN Legal business name Active Lifestyles Wellness & Performance Ctr
DBA Doing business as
Authorized official Res, Giorgio G D.C., P.T.
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Feb 13th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154378875 NPPES
Florida Other 60994 BCBS- DR. RES
Florida Other 77915 BCBS- DR. RES

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