KINGDOM CHIROPRACTIC (NPI# 1073913372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073913372 |
| Entity Type | Organization |
| Organization Name | KINGDOM CHIROPRACTIC |
| Practice Address |
1706 W M.l.k. Jr Blvd Tampa FL 33607 |
| Practice Telephone | 8134341045 |
| Practice Fax Number | 8134341259 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. FREDRICK THOMAS WILLIAMS JR. (CEO) |
| Authorized Official Telephone | 7274977463 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11209 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1089 Ponce De Leon Blvd, Brooksville, FL 346011241 | 8134341045 | 8134341259 |
| 1484 Gulf To Bay Blvd, Clearwater, FL 337555358 | 8134341045 | 8134341259 |
| 5912 Watson Rd, Riverview, FL 335783734 | 8134341045 | 8134341259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043776172 | Kingdom Chiropractic | Chiropractor | 7509 Madison Ave Unit 11, Citrus Heights, CA 95610-7467 | 2019-02-13 |
| 1881121473 | Kingdom Chiropractic | Clinic/Center | 1484 Gulf To Bay Blvd, Clearwater, FL 33755-5358 | 2017-05-15 |
| 1063860286 | Kingdom Chiropractic | Chiropractor | 1706 W. Martin Luther King Blvd, Tampa, FL 33607 | 2016-05-27 |
| 1881293140 | Kingdom Chiropractic | Chiropractor | 87-2070 Farrington Hwy # B4, Waianae, HI 96792-3757 | 2020-10-19 |
| 1104304427 | Kingdom Chiropractic | Chiropractor | 1484 Gulf To Bay Blvd, Clearwater, FL 33755-5358 | 2018-07-30 |
| Street Address |
1706 W M.L.K. JR BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1780215798 | Rachel Emma Marr | Chiropractor | 2901 W Busch Blvd Ste 910, Tampa, FL 33618-4573 | 2020-01-29 |
| 1023648656 | Dia Laurencia Carter | Chiropractor | 106 S Armenia Ave, Tampa, FL 33609-3308 | 2020-01-23 |
| 1205466455 | Grant Elliott | Chiropractor | 317 N Dale Mabry Hwy, Tampa, FL 33609-1238 | 2020-01-16 |
| 1740810860 | Mikkel Bahamondes | Chiropractor | 5830 Memorial Hwy Apt 1401, Tampa, FL 33615-5064 | 2020-01-16 |
| 1912548355 | Az Medical Center, LLC | Chiropractor | 3911 W Waters Ave Ste 13, Tampa, FL 33614-1950 | 2019-10-07 |
| 1710530977 | Jonathan Moukhtafi | Chiropractor | 16210 Saint Michelle Ct, Tampa, FL 33647-5100 | 2019-07-17 |
| 1215599014 | Christopher Bush | Chiropractor | 12233 N Florida Ave Ste 200, Tampa, FL 33612-4270 | 2019-07-01 |
| 1396220562 | Jesse Law | Chiropractor | 110 S Manhattan Ave Apt 68, Tampa, FL 33609-3877 | 2018-10-03 |
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.