JAQUA CHIROPRACTIC LLC (NPI# 1427449867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427449867 |
| Entity Type | Organization |
| Organization Name | JAQUA CHIROPRACTIC LLC |
| Practice Address |
6449 38th Ave N Suite B3 Saint Petersburg FL 33710-1655 |
| Practice Telephone | 7273472225 |
| Mailing Telephone | 7273472225 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DR. KIM JAQUA (DOCTOR) |
| Authorized Official Telephone | 7273472225 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 9579 | FL | Chiropractic Providers |
| Street Address |
6449 38TH AVE N SUITE B3 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33710-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649247016 | Jamie B Quatman | Nurse Practitioner | 6449 38th Ave N, Saint Petersburg, FL 33710-1655 | 2006-03-03 |
| 1699740175 | Mark David Alspach | Pharmacist | 6449 38th Ave N, Suite A4, Saint Petersburg, FL 33710-1655 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
|---|---|---|---|---|
| 1922609379 | Parker Elizabeth Lee | Chiropractor | 196 37th Ave N, Saint Petersburg, FL 33704-1414 | 2020-11-03 |
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1457857773 | Molly Christine Letourneau | Chiropractor | 736 86th Ave N, Saint Petersburg, FL 33702-3412 | 2018-04-04 |
| 1073970992 | Blake W Squire | Chiropractor | 5105 Central Ave, Saint Petersburg, FL 33710-8140 | 2016-01-22 |
| 1386918464 | Kiersten Mcleod Ogden | Chiropractor | 3200 4th N St, Saint Petersburg, FL 33704-2127 | 2012-03-07 |
| 1538440185 | Andrew Leverone | Chiropractor | 11270 4th St N, Suite 208, Saint Petersburg, FL 33716-2937 | 2011-09-08 |
| 1659666493 | Ashley C Heyward | Chiropractor | 2206 4th St N, Saint Petersburg, FL 33704-4314 | 2011-06-09 |
| 1578880357 | Colby Weston Staubs | Chiropractor | 6514 Central Ave, Saint Petersburg, FL 33707-1330 | 2010-05-03 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| 1578768438 | Baker Chiropractic Inc. | Chiropractor | 5500 10th Ave N, Saint Petersburg, FL 33710-6428 | 2007-06-19 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on JAQUA CHIROPRACTIC LLC.
| 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.