JOEL M GROSSMAN, DC, PA DBA TOWN AND COUNTRY WELLNESS AND CHIROPRACTIC (NPI# 1811069578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811069578 |
Entity Type | Organization |
Organization Name | JOEL M GROSSMAN, DC, PA DBA TOWN AND COUNTRY WELLNESS AND CHIROPRACTIC |
Practice Address |
1024 Buenaventura Blvd Kissimmee FL 34743-7865 |
Practice Telephone | 4073440007 |
Practice Fax Number | 4073442464 |
Mailing Telephone | 4073440007 |
Mailing Fax Number | 4073442464 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2008-01-21 |
Authorized Official Name | DR. CLARENCE WILLIAM KELLY (CLINICAL DIRECTOR) |
Authorized Official Telephone | 4073440007 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH0003224 | FL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICARE PROVIDER NUMBER | 24571 | 01 |
Street Address |
1024 BUENAVENTURA BLVD |
City | KISSIMMEE |
State | FL |
Zip Code | 34743-7865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740844711 | Orlando Health Services At Central Florida LLC | Nurse Practitioner | 2685 Maxwell Ct W, Kissimmee, FL 34743 | 2019-04-25 |
1104316751 | Melissa Lymari Martinez | Case Manager/Care Coordinator | 139 Puelba Ln, Kissimmee, FL 34743 | 2018-05-18 |
1083087886 | Brenda Torres | Social Worker | 2203 Gatwick Ct., Kissimmee, FL 34743 | 2015-11-03 |
1629473582 | Catalina Lasso | Counselor | 2005 Lacie Jo Ln, Kissimmee, FL 34743 | 2014-11-04 |
1114326584 | Alexandra Buxo | Social Worker | 2182 Cypress Bay Blvd, Kissimmee, FL 34743 | 2014-08-21 |
1558609040 | Ana Paula Machado Bernardi | Pharmacist | 2005 E Osceola Pkwy, Kissimmee, FL 34743 | 2013-01-18 |
1093075954 | Lynda A Gonsalves | Counselor | 220 N Lake Ct, Kissimmee, FL 34743 | 2012-05-24 |
1912264805 | Mario E Perez | Occupational Therapist | 2517 Hikers Ct, Kissimmee, FL 34743 | 2012-04-16 |
1003118555 | Alvaro Jose Altamirano | Family Medicine | 729 Buenaventura Blvd, Kissimmee, FL 34743 | 2010-12-02 |
1891929402 | Federico Nicholas | Physical Therapy Assistant | 1441 Fortune Rd, #256, Kissimmee, FL 34743 | 2009-05-11 |
Find all providers in zip 34743 |
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 |
---|---|---|---|---|
1720626633 | Kissimmee Spine and Rehabilitation Center, LLC | Chiropractor | 913 Mabbette St, Kissimmee, FL 34741-5157 | 2019-12-11 |
1912478017 | Serenity Accident & Injury Clinic, LLC | Chiropractor | 1631 N John Young Pkwy, Kissimmee, FL 34741-3216 | 2018-12-16 |
1033695044 | Orange County Physicians Group LLC | Chiropractor | 1200 N Central Ave Ste 208, Kissimmee, FL 34741-4440 | 2018-07-12 |
1861919565 | Comprehensive Health X2 | Chiropractor | 3218 Hillsdale Ln, Kissimmee, FL 34741-7562 | 2017-08-24 |
1023559432 | Preferred Injury Physicians of Kissimmee | Chiropractor | 207 W Cypress St, Kissimmee, FL 34741-3311 | 2017-03-17 |
1447798798 | Mueller Chiropractic LLC | Chiropractor | 373 Cypress Pkwy, Kissimmee, FL 34759-3326 | 2017-02-07 |
1598168205 | Poinciana Chiropractic & Injury Center, Pllc | Chiropractor | 827 Cypress Pkwy, Kissimmee, FL 34759-3408 | 2014-10-08 |
1255748968 | Cameron M Banks | Chiropractor | 1040 E. Osceola Pkwy, Kissimmee, FL 34744 | 2014-07-14 |
1053725747 | Kissimmee Injury Clinic LLC | Chiropractor | 512 W Cherry St, Kissimmee, FL 34741-4114 | 2014-06-20 |
1275958498 | Patient Management Consulting LLC | Chiropractor | 1627 E Vine St, Suite 126, Kissimmee, FL 34744-3704 | 2014-02-25 |
Find all providers in KISSIMMEE |
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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.