MADIGAN FAMILY LLC (NPI# 1235599689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235599689 |
Entity Type | Organization |
Organization Name | MADIGAN FAMILY LLC |
Other Organization Name | MADIGAN FAMILY HEALTH CENTER |
Practice Address |
4098 Sw Balleto St Port St Lucie FL 34953-5382 |
Practice Telephone | 7722670425 |
Mailing Telephone | 7722670425 |
Enumeration Date | 2016-02-27 |
Last Update Date | 2016-02-27 |
Authorized Official Name | DR. JUSTIN M MADIGAN (MANAGER) |
Authorized Official Telephone | 7722670425 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH11133 | FL | Chiropractic Providers |
Other Name | Type Code |
---|---|
Madigan Family Health Center | Doing Business As Name - Organization |
Street Address |
4098 SW BALLETO ST |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34953-5382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
Find all providers in zip 34953 |
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 |
---|---|---|---|---|
1801318076 | Victoria Kustarz | Chiropractor | 456 Se Jupiter Ter, Port St Lucie, FL 34983-3212 | 2017-07-10 |
1942673223 | Tradition Family Chiropractic | Chiropractor | 10552 Sw Village Pkwy, Port St Lucie, FL 34987-2359 | 2015-11-09 |
1740660026 | Aaron Gajeske | Chiropractor | 7430 S Us Highway 1 Ste 7448, Port St Lucie, FL 34952 | 2015-06-02 |
1386034676 | Cox Chiropractic | Chiropractor | 625 Sw Jacoby Ave, Port St Lucie, FL 34953-3954 | 2015-01-26 |
1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
1447673876 | Trena Marie Adams | Chiropractor | 111 Sw Chapman Ave, Port St Lucie, FL 34984-4310 | 2014-01-21 |
1346507837 | Central Palm Beach Physicians & Urgent Care Inc | Chiropractor | 1903 Port St. Lucie Blvd, Port St Lucie, FL 34952 | 2012-04-20 |
1548540651 | Amber Wehrle | Chiropractor | 10081 Sw Dolce Rd, Port St Lucie, FL 34986 | 2011-08-19 |
1326367269 | Victoria J Vislocky | Chiropractor | 149 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5017 | 2010-05-18 |
1588982367 | Health Port Chiropractic Inc | Chiropractor | 1502 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5449 | 2010-05-04 |
Find all providers in PORT ST LUCIE |
City | PORT ST LUCIE |
Zip Code | 34953 |
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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.