MAURICIO CHIROPRACTIC MELBOURNE LLC (NPI# 1376056291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376056291 |
| Entity Type | Organization |
| Organization Name | MAURICIO CHIROPRACTIC MELBOURNE LLC |
| Practice Address |
187 S Wickham Rd Ste 101 Melbourne FL 32904-1123 |
| Mailing Address |
12278 E Colonial Dr Ste 600h Orlando FL 32826-4724 |
| Practice Telephone | 3213725033 |
| Practice Fax Number | 3213725034 |
| Mailing Telephone | 4073810878 |
| Mailing Fax Number | 4073736046 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | MR. RICHARD S BIRD (OWNER) |
| Authorized Official Telephone | 4073810878 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
187 S WICKHAM RD STE 101 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1942826938 | Michelle Stevens | Chiropractor | 5545 N Wickham Rd Ste 108, Melbourne, FL 32940-7323 | 2020-06-25 |
| 1104445048 | Edx of Brevard, LLC | Chiropractor | 2955 Pineda Plaza Way Ste 104, Melbourne, FL 32940-7306 | 2020-04-10 |
| 1619512944 | Alycia Bowles | Chiropractor | 8009 Glastonbury Pl, Melbourne, FL 32940-2141 | 2019-11-11 |
| 1497256663 | Amie Marie Wells | Chiropractor | 2314 Post Rd, Melbourne, FL 32935-2308 | 2018-02-23 |
| 1720592884 | Custom Chiropractic Services LLC | Chiropractor | 1710 Bryan St # 1, Melbourne, FL 32901-4412 | 2017-11-28 |
| 1548779150 | Leslie M Ryan | Chiropractor | 2255 N Wickham Rd Ste 109, Melbourne, FL 32935-8012 | 2017-09-26 |
| 1902341993 | Melbourne Chiropractic, Wellness & Rehab, LLC | Chiropractor | 1103 W Hibiscus Blvd, Suite 405, Melbourne, FL 32901-2714 | 2016-12-29 |
| 1336565621 | Bond Chiropractic Inc. | Chiropractor | 8059 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8566 | 2014-03-11 |
| 1538585153 | Brandon Bond | Chiropractor | 7341 Office Park Pl Ste 202, Melbourne, FL 32940-8280 | 2014-03-06 |
| 1003258963 | Rozana Ali Sharma | Chiropractor | 3270 Suntree Blvd Ste 1130, Melbourne, FL 32940-7557 | 2013-07-20 |
| Find all providers in MELBOURNE | ||||
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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.