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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4028 13th St, Saint Cloud, FL 347696773 | 4079579995 | 4079577536 |
Street Address |
4028 13TH ST |
City | SAINT CLOUD |
State | FL |
Zip Code | 34769-6773 |
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 |
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 |
Find all providers in zip 34769 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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 |
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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 |
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1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
Find all providers with the same taxonomy |
City | SAINT CLOUD |
Zip Code | 34769 |
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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.