PT MALABAR CHIROPRACTIC CLINIC INC (NPI# 1699968792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699968792 |
| Entity Type | Organization |
| Organization Name | PT MALABAR CHIROPRACTIC CLINIC INC |
| Other Organization Name | PORT MALABAR CHIROPRACTIC |
| Practice Address |
5201 Babcock St Ne Ste 1 Palm Bay FL 32905-4637 |
| Practice Telephone | 3217255200 |
| Practice Fax Number | 3217258770 |
| Mailing Telephone | 3217255200 |
| Mailing Fax Number | 3217258770 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | DR. JOHN W ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 3217255200 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
CH5772 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Port Malabar Chiropractic | Doing Business As Name - Organization |
| Street Address |
5201 BABCOCK ST NE STE 1 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32905-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
| 1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
| 1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
| 1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
| 1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
| 1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
| 1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
| 1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
| Find all providers in zip 32905 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295044824 | Medical Technology Transfer Corporation | Clinic/Center | 590 Malabar Road, Suite 6, Palm Bay, FL 32907 | 2010-09-30 |
| 1225420599 | German Castro Md | Clinic/Center | 1091 Port Malabar Blvd Ne, Suite 1, Palm Bay, FL 32905-5100 | 2015-02-24 |
| 1295752053 | Associate Medical Management, Inc | Clinic/Center | 2105 Palm Bay Rd Ne, Suite 1-w, Palm Bay, FL 32905-2937 | 2006-07-17 |
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| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.