TITUSVILLE CHIROPRACTIC & INJURY CENTER, INC. (NPI# 1134403108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134403108 |
| Entity Type | Organization |
| Organization Name | TITUSVILLE CHIROPRACTIC & INJURY CENTER, INC. |
| Other Organization Name | TITUSVILLE ACCIDENT & INJURY CENTER |
| Practice Address |
850 Century Medical Drive Titusville FL 32796 |
| Practice Telephone | 3212261115 |
| Practice Fax Number | 3212516091 |
| Mailing Telephone | 3212261115 |
| Mailing Fax Number | 3212516091 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | MRS. JENNIFER H. TRASTELIS (VP) |
| Authorized Official Telephone | 3868477108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH9957 | FL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Titusville Accident & Injury Center | Doing Business As Name - Organization |
| Street Address |
850 CENTURY MEDICAL DRIVE |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698091 | Miranda Jade Lacey | Behavior Technician | 2073 Graden St, Titusville, FL 32796 | 2020-01-13 |
| 1588183818 | Charles Hopkins Jr. | Behavior Technician | 2073 Garden St., Titusville, FL 32796 | 2017-09-19 |
| 1962924456 | Robin Marie Ahlgren | Social Worker | 503 South Palm Ave, Titusville, FL 32796 | 2017-07-17 |
| 1669994158 | New Creation Counseling | Social Worker | 503 South Palm Ave., Titusville, FL 32796 | 2017-07-17 |
| 1255719506 | Daniel Joseph Spagnoli | Dentist | 55 N Carpenter Rd, Titusville, FL 32796 | 2015-05-07 |
| 1033511415 | Imran Rashid Md Pa | Internal Medicine | 3300 Dairy Road, Titusville, FL 32796 | 2014-09-17 |
| 1639425432 | William Henry Ruppert Jr. | Dietitian, Registered | 2191 Garden Street, Titusville, FL 32796 | 2012-07-30 |
| 1437410230 | Betsy Cooduvalli | Dermatology | 500 N Washington Ave Ste 109, Titusville, FL 32796 | 2012-06-07 |
| 1992095152 | Jennifer Eleanor Koffman | Occupational Therapy Assistant | 140 N Hilltop Drive, Titusville, FL 32796 | 2011-04-08 |
| 1356575427 | Jl Gran Services, Inc | Clinic/Center | 3435 Westwood Dr, Titusville, FL 32796 | 2009-05-05 |
| Find all providers in zip 32796 | ||||
| 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 |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1275097073 | Accurate Healthcare Titusville LLC | Chiropractor | 1625 S Washington Ave Ste B, Titusville, FL 32780-4734 | 2019-01-25 |
| 1477095461 | Shaun Shaffner | Chiropractor | 809 Cheney Hwy, Titusville, FL 32780-6960 | 2016-11-08 |
| 1528469129 | Casey Renee Otto | Chiropractor | 3250 Treetop Dr, Titusville, FL 32780-4808 | 2014-09-15 |
| 1649459009 | Paula Lakeman | Chiropractor | 850 Century Medical Dr, Titusville, FL 32796-2141 | 2007-11-01 |
| 1609884469 | Adam Scott Middleton | Chiropractor | 128 W Central Ave, Titusville, PA 16354-1726 | 2006-08-04 |
| 1831120138 | David Gary Daly | Chiropractor | 2708 Garden St, Titusville, FL 32796-3120 | 2006-07-05 |
| 1487697348 | Mark Douglas Brunot | Chiropractor | 120 N Franklin St, Titusville, PA 16354-1761 | 2006-06-14 |
| 1326080151 | Kevin J Demers | Chiropractor | 2208 S Hopkins Ave, Titusville, FL 32780-4744 | 2006-06-13 |
| 1083662993 | Joanielee Kriz | Chiropractor | 2203 Garden Street, Titusville, FL 32796 | 2006-05-04 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32796 |
Please comment or provide details below to improve the information on TITUSVILLE CHIROPRACTIC & INJURY CENTER, INC..
| 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.