DR. KEVIN POULSTON (NPI# 1336529882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336529882 |
| Entity Type | Individual |
| Full Name | DR. KEVIN POULSTON |
| Credential | DC |
| Practice Address |
1300 Pinetree Dr Ste 7 Indian Harbour Beach FL 32937-4429 |
| Practice Telephone | 3217753734 |
| Mailing Telephone | 3217753734 |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11291 | FL | Chiropractic Providers |
| Street Address |
1300 PINETREE DR STE 7 |
| City | INDIAN HARBOUR BEACH |
| State | FL |
| Zip Code | 32937-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518347061 | Dockside Chiropractic LLC | Health Maintenance Organization | 1300 Pinetree Dr Ste 7, Indian Harbour Beach, FL 32937-4429 | 2015-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407760 | Thalia Mercedes Romero | Occupational Therapy Assistant | 2040 Sr-a1a, Unit 203, Indian Harbour Beach, FL 32937 | 2020-11-06 |
| 1316556616 | Hi 5 Aba Florida Franchise 4 Inc | Behavioral Analyst | 1125 Sr A1a, Suite 306, Satellite Beach, FL 32937 | 2020-07-23 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1861970782 | Lauren Ann Liston | Pharmacist | 1024 Florida A1a, #120, Satellite Beach, FL 32937 | 2018-08-02 |
| 1184007965 | David Schweibish | Podiatrist | 2020 Highway A1a Ste 101, Indian Harbour Beach, FL 32937 | 2015-06-30 |
| 1831588185 | Cynthia Heyne | Nurse Practitioner | 436 Aruba Ct, Satellite Beach, FL 32937 | 2015-01-09 |
| 1326451675 | Atlantis Urgent Care Inc | Non-Pharmacy Dispensing Site | 2254 Highway Aia, Indian Harbour Beach, FL 32937 | 2014-06-04 |
| 1730511668 | Jessica Lynn Bevins | Occupational Therapy Assistant | 2040 Florida Hwy A1a, Suite 203, Indian Harbour Beach, FL 32937 | 2013-08-02 |
| 1790120582 | Melissa Jean Hamilton | Speech-Language Pathologist | 484 Red Sail Way, Satellite Beach, FL 32937 | 2013-05-07 |
| 1255602637 | Sandra Birza | Pharmacist | 1098 Hwy A I A, Satellite Beach, FL 32937 | 2012-01-18 |
| Find all providers in zip 32937 | ||||
| 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 |
|---|---|---|---|---|
| 1366594905 | Frances Addeo | Chiropractor | 2060 Highway A1a Ste 304, Indian Harbour Beach, FL 32937-3596 | 2007-01-16 |
| 1538222195 | Janet Marie Sikora Amendola | Chiropractor | 131 Anona Pl, Indian Harbour Beach, FL 32937-4101 | 2006-12-18 |
| 1861739567 | Frances Addeo, D.c. | Chiropractor | 2020 Hwy A1a, 104, Indian Harbour Beach, FL 32937-3581 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659366 | Mcclure Family and Sports | Chiropractor | 5420 Land O Lakes Blvd Ste 105, Land O Lakes, FL 34639-3401 | 2020-11-06 |
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1356942940 | Michelle George | Chiropractor | 840 N Cocoa Blvd Ste A, Cocoa, FL 32922-7590 | 2020-11-02 |
| 1124629647 | Travis Edward Kerner | Chiropractor | 18505 Nw 75th Pl Ste 117, Hialeah, FL 33015-2961 | 2020-11-02 |
| 1720688641 | Desiree Bethel | Chiropractor | 551 Ne 174th St, North Miami Beach, FL 33162-1945 | 2020-10-29 |
| 1255931010 | Spinewell Inc | Chiropractor | 650 Central Ave Ste 3, Sarasota, FL 34236-4090 | 2020-10-29 |
| 1982203543 | William Jesse Naftel | Chiropractor | 981 Highway 98 E Ste 9, Destin, FL 32541-2588 | 2020-10-23 |
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588263560 | Chiropractic Spine and Injury Pa | Chiropractor | 158 Tuskawilla Rd Ste 1308, Winter Springs, FL 32708-2805 | 2020-10-21 |
| 1588263867 | Orchid Island Chiropractic, LLC | Chiropractor | 9613 N Us Highway 1, Sebastian, FL 32958-6363 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN HARBOUR BEACH |
| Zip Code | 32937 |
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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.