EAST LAKE CHIROPRACTIC & MEDICAL CENTER, INC.


Address: 4028 13th St, Saint Cloud, FL 34769-6773
Phone: 4079579995

EAST LAKE CHIROPRACTIC & MEDICAL CENTER, INC. (NPI# 1811495617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811495617
Entity Type Organization
Organization Name EAST LAKE CHIROPRACTIC & MEDICAL CENTER, INC.
Practice Address 4028 13th St
Saint Cloud
FL 34769-6773
Practice Telephone 4079579995
Practice Fax Number 4079577536
Mailing Telephone 4079579995
Mailing Fax Number 4079577536
Enumeration Date 2018-01-26
Last Update Date 2018-03-17
Authorized Official Name DR. CHRISTOPHER MCNICHOLS (OWNER)
Authorized Official Telephone 4079579995
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4028 13th St, Saint Cloud, FL 347696773 4079579995 4079577536

Office Location

Street Address 4028 13TH ST
City SAINT CLOUD
State FL
Zip Code 34769-6773

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760642524 Christopher Mcnichols Chiropractor 4028 13th St, Saint Cloud, FL 34769-6773 2008-06-14
1578171401 Kerem Price Nurse Practitioner 4028 13th St, Saint Cloud, FL 34769-6773 2020-07-16
1720542921 Rafael Massa Tormos Chiropractor 4028 13th St, Saint Cloud, FL 34769-6773 2019-01-22
1295231991 Rachel Fischer Nurse Practitioner 4028 13th St, Saint Cloud, FL 34769-6773 2018-04-02
1053574855 East Lake Chiropractic and Injury Center Inc Chiropractor 4028 13th St, Saint Cloud, FL 34769-6773 2008-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053877506 Premier Med Pa Clinic/Center 2906 17th St., St Cloud, FL 34769 2019-02-20
1760975387 Mayra Rosado Psychologist Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 2018-06-08
1598282113 Salud Urgent Care LLC Clinic/Center 3107 13th Street, Saint Cloud, FL 34769 2017-08-24
1710332671 American Healthcare Community Behavioral Services LLC Social Worker 1203 Florida Ave., St. Cloud, FL 34769 2016-04-28
1215395785 Elite Garden Assisted Living Facility 4319 Neptune Road, St Cloud, FL 34769 2016-01-29
1336506732 Adventist Health System/sunbelt, Inc. Clinic/Center 4660 13th Street, St. Cloud, FL 34769 2016-01-15
1306202064 Megan Rose Mcclave Registered Nurse 524 13th Street, St. Cloud, FL 34769 2016-01-12
1821473133 Angela Creager Counselor 446 Hamilton Park Circle, St. Cloud, FL 34769 2015-07-28
1730574906 Jordico LLC Assisted Living Facility 4417 13th Street, Suite 142, Saint Cloud, FL 34769 2015-04-03
1255731667 Judimar Rodriguez Behavioral Analyst 1605 Eastern Ave, Saint Cloud, FL 34769 2014-09-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538355060 Glenda Marie Nieves General Practice 1931 S Narcoossee Rd, Saint Cloud, FL 34771-7211 2007-09-18
1497881577 Nildamarys Hernandez General Practice 1495 Budinger Ave, Saint Cloud, FL 34769-4157 2007-02-26
1386601284 Aileen Edith Rosario General Practice 521 13th St, Saint Cloud, FL 34769 2006-04-26
1861010266 Living Well Health Center of Central Florida, Inc General Practice 4039 13th St, Saint Cloud, FL 34769-6772 2020-07-12
1649747924 Unlimited Medical Services of Florida, Pl General Practice 4227 13th St, Saint Cloud, FL 34769-6732 2018-10-25
1760981450 Karen Michele Dotson General Practice 2013 Live Oak Blvd Ste B, Saint Cloud, FL 34771-8410 2018-02-07
1356870935 Dalianne Rivera General Practice 3505 Progress Ln, Saint Cloud, FL 34769-6519 2017-06-07
1003249764 Jbm Health Services LLC General Practice 4898 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771-8714 2013-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033823 Bless Medical Center of Nmb LLC General Practice 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 2020-11-02
1982203634 Central Florida Wellness LLC General Practice 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 2020-10-23
1760080212 Summit Health Multi Specialty of Florida LLC General Practice 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 2020-10-15
1376140772 Amy Wrenn General Practice 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 2020-10-08
1992302574 Avita Medical Clinic, LLC General Practice 14831 N Florida Ave, Tampa, FL 33613-1825 2020-10-06
1568069672 Ernesto Oscar Gonzalez Pupo General Practice 14420 Sw 22nd St, Miami, FL 33175-6338 2020-10-02
1508463779 Ashley Zanders Walton General Practice 75 Foxfire Ct, Quincy, FL 32351-7293 2020-10-01
1730796830 Brid M Wade General Practice 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 2020-09-23
1902412786 New Era Medical Pllc General Practice 628 Cleveland St Ste A, Clearwater, FL 33755-6603 2020-09-17
1417562414 Jl Laria Aprn Pa General Practice 5751a Sw 40th St, Miami, FL 33155-5301 2020-09-15
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Competitor

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City SAINT CLOUD
Zip Code 34769

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Dataset Information

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.

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