LIVE YOUNG CHIROPRACTIC
NPI 1073962114
Clinic/Center - Primary Care in Port St Lucie, FL

Active since June 09, 2016
1680 SW SAINT LUCIE WEST BLVD STE 204, PORT ST LUCIE, FL 34986(772) 212-1111(772) 212-0201 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Live Young Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE YOUNG CHIROPRACTIC (NPI 1073962114) is a healthcare organization registered as a primary care in Port St Lucie, Florida and active in the NPI registry since June 2016. The organization lists Timothy M Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1073962114
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIVE YOUNG PLLC
Location Address1680 SW SAINT LUCIE WEST BLVD STE 204Port St Lucie, FL 34986-1927
Mailing Address318 Se Fisk RdPort St Lucie, FL 34984-8920 · (860) 883-5850
Fax(772) 212-0201
Organization SubpartNo
Authorized OfficialTimothy M KennedyOwner · (772) 212-1111
Enumeration DateJune 9, 2016
Last NPPES UpdateFebruary 12, 2019
✔ NPI 1073962114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · CH11346
1680 SW SAINT LUCIE WEST BLVD STE 204, Port St Lucie, FL 34986

Other Names 1

Doing Business AsLive Young Chiropractic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Young PLLC's NPI number?

The NPI number for Live Young PLLC is 1073962114. It was assigned to this organization in the NPPES registry on June 9, 2016. The provider is doing business as Live Young Chiropractic.

Where is Live Young PLLC located?

Live Young PLLC is located at 1680 SW Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986. The listed phone number is (772) 212-1111.

What is Live Young PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Live Young PLLC was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.