Doctor Name: | DR. VICTORIA J VISLOCKY |
NPI Number: | 1326367269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | CH 9980 |
Business Practice Address: | 149 Sw Port St Lucie Blvd Port St Lucie, FL - 349845017 |
Business Phone Number: | 7726217777 |
Business Fax Number: | 7723354912 |
Mailing Address: | 149 Sw Port St Lucie Blvd, PORT ST LUCIE |
State: | FL |
Postal Code: | 349845017 |
Phone Number: | 7726217777 |
Fax Number: | 7723354912 |
NPI Enumeration Date: | 05/18/2010 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 9980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |