SUNSHINE STATE CHIROPRACTIC LLC (NPI# 1669976171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669976171 |
Entity Type | Organization |
Organization Name | SUNSHINE STATE CHIROPRACTIC LLC |
Practice Address |
2953 Duff Rd Lakeland FL 33810-2188 |
Practice Telephone | 8632486900 |
Practice Fax Number | 8632486900 |
Mailing Telephone | 8632486900 |
Mailing Fax Number | 8632486900 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |
Authorized Official Name | DR. JULIE ANNA BOHLEN (DOCTOR OF CHIROPRACTIC/OWNER) |
Authorized Official Telephone | 8632486900 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH11730 | FL | Chiropractic Providers |
Street Address |
2953 DUFF RD |
City | LAKELAND |
State | FL |
Zip Code | 33810-2188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
Find all providers in zip 33810 |
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 |
---|---|---|---|---|
1225652878 | Trinity Medical Physicians LLC | Chiropractor | 3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 | 2020-05-29 |
1558982629 | Valerie Michelle Roseland | Chiropractor | 1509 S Florida Ave, Lakeland, FL 33803-2258 | 2020-04-30 |
1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
1609381110 | Joshua Chase Fish | Chiropractor | 8950 Us Highway 64 Ste 104, Lakeland, TN 38002-4566 | 2017-12-06 |
1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
1003270307 | Nancy M Bertelmann | Chiropractor | 308 W Highland Dr, Lakeland, FL 33813-1543 | 2016-04-12 |
1467841544 | Dr Ransford Robinson LLC | Chiropractor | 2161 E County Road 540a, #156, Lakeland, FL 33813-3794 | 2015-01-13 |
1700288644 | South Lakeland Chiropractic Center | Chiropractor | 201 W Christina Blvd Ste 1, Lakeland, FL 33813-9812 | 2014-09-23 |
1326449588 | Christopher Ryan Barker | Chiropractor | 780 Small Oak Ln Apt 103, Lakeland, FL 33805-2360 | 2014-09-08 |
1639515893 | Ida Faith Abraham | Chiropractor | 4788 S Florida Ave, Lakeland, FL 33813-2181 | 2013-05-15 |
Find all providers in LAKELAND |
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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.