| Brody Khoury, DC | |
|
729 Sw Federal Hwy Ste 102, Stuart, FL 34994-2913 | |
| (855) 509-5400 | |
| Not Available |
| Full Name | Brody Khoury |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 729 Sw Federal Hwy Ste 102, Stuart, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710790241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14961 (Florida) | Primary |
| Provider Name | Advanced Wellness Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972980258 PECOS PAC ID: 5092027557 Enrollment ID: O20150713000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Brody Khoury, DC 729 Sw Federal Hwy Ste 102, Stuart, FL 34994-2913 Ph: (855) 509-5400 | Brody Khoury, DC 729 Sw Federal Hwy Ste 102, Stuart, FL 34994-2913 Ph: (855) 509-5400 |
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