1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER INC (NPI# 1235481524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235481524 |
| Entity Type | Organization |
| Organization Name | 1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE CENTER INC |
| Practice Address |
2718 Letap Ct Land O Lakes FL 34638-7218 |
| Practice Telephone | 8134482222 |
| Practice Fax Number | 8139487111 |
| Mailing Telephone | 8134482222 |
| Mailing Fax Number | 8139487111 |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. JORGE LUIS SANTANA (OWNER/DOCTOR) |
| Authorized Official Telephone | 8134482222 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH8357 | FL | Chiropractic Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME114962 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2718 LETAP CT |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34638-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255459301 | Jorge Luis Santana | Chiropractor | 2718 Letap Ct, Suite 101, Land O Lakes, FL 34638-7218 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
| 1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
| 1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
| 1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
| 1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
| 1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
| 1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
| 1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
| 1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
| 1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
| Find all providers in zip 34638 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34638 |
Please comment or provide details below to improve the information on 1 SOURCE CHIROPRACTIC & PHYSICAL MEDICINE 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.