PERDUE CHIROPRACTIC CENTER, LLC (NPI# 1164782553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164782553 |
| Entity Type | Organization |
| Organization Name | PERDUE CHIROPRACTIC CENTER, LLC |
| Practice Address |
1051 Port Malabar Blvd Ne Suite 2 Palm Bay FL 32905-5153 |
| Practice Telephone | 3219845355 |
| Practice Fax Number | 3219847206 |
| Mailing Telephone | 3219845355 |
| Mailing Fax Number | 3219847206 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MR. LAWRENCE REGINALD PERDUE (OWNER) |
| Authorized Official Telephone | 3219845355 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH6225 | FL | Chiropractic Providers |
| Street Address |
1051 PORT MALABAR BLVD NE SUITE 2 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578550935 | Maryann Martin | Nurse Practitioner | 1051 Port Malabar Blvd Ne, Suite 6, Port Malabar Professional Bldg, Palm Bay, FL 32905-5153 | 2005-09-30 |
| 1578970091 | Kristina Galligan | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2014-07-16 |
| 1174899041 | Martin Jacobson, D.c., P.a. | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2012-03-26 |
| 1295032654 | Perdue Chiropractic Center, P.a. | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2011-02-22 |
| 1285799791 | Medical Associates of Brevard LLC | Clinic/Center | 1051 Port Malabar Blvd Ne, # 9, Palm Bay, FL 32905-5153 | 2006-12-26 |
| 1922169788 | Jack Rosenkrantz | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-12-13 |
| 1922169325 | David Hernandez | Dentist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-12-12 |
| 1346326899 | Mahesh M Soni | Pediatrics | 1051 Port Malabar Blvd Ne, Suite 9, Palm Bay, FL 32905-5153 | 2006-10-27 |
| 1366530727 | Christopher Michael Allen | Optometrist | 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 | 2006-10-11 |
| 1427144930 | Lawrence Reginald Perdue | Chiropractor | 1051 Port Malabar Blvd Ne, Suite 2, Palm Bay, FL 32905-5153 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| 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 |
|---|---|---|---|---|
| 1659923480 | Yoanis Mendoza | Chiropractor | 6285 Minton Rd Ne, Palm Bay, FL 32907-3008 | 2019-07-11 |
| 1780117333 | Ryan Dalzell | Chiropractor | 370 Hurst Rd Ne, Palm Bay, FL 32907-1551 | 2017-04-10 |
| 1265763049 | Jason Scot Comerford | Chiropractor | 280 Corporate Way Se Ste 102, Palm Bay, FL 32909-3803 | 2010-01-19 |
| 1386844561 | Pamela Elyse Kershaw | Chiropractor | 2060 Palm Bay Rd Ne Ste 5, Palm Bay, FL 32905-2931 | 2007-07-25 |
| 1386783876 | Lifeforce Chiropractic, Inc. | Chiropractor | 5560 Babcock St Ne, Palm Bay, FL 32907-2300 | 2007-02-05 |
| 1619038775 | Jesse M Lacy | Chiropractor | 1900 Palm Bay Road Northeast, Suite C, Palm Bay, FL 32905-2955 | 2006-12-13 |
| 1114938230 | Michael Wayne Womack | Chiropractor | 1430 Palm Bay Rd Ne, Suite C, Palm Bay, FL 32905-3829 | 2006-08-11 |
| 1861415465 | Linda Diane Binda | Chiropractor | 1639 Georgia St Ne, Palm Bay, FL 32907-2568 | 2006-07-25 |
| 1013930775 | Salvatore J Martingano | Chiropractor | 1320 Palm Bay Rd Ne, Palm Bay, FL 32905-3837 | 2006-07-25 |
| 1053373308 | Vicki M Merrick Dc Pa | Chiropractor | 2060 Palm Bay Rd Ne, Suite #2, Palm Bay, FL 32905-2931 | 2006-04-03 |
| Find all providers in PALM BAY | ||||
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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.