EDGEWATER CHIROPRACTIC CLINIC, P.A. (NPI# 1821421363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821421363 |
| Entity Type | Organization |
| Organization Name | EDGEWATER CHIROPRACTIC CLINIC, P.A. |
| Practice Address |
201 S Ridgewood Ave Ste 11 Edgewater FL 32132-1935 |
| Practice Telephone | 3864237575 |
| Mailing Telephone | 3864237575 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | CARLY KRISTEEN MECKLE (CHIROPRACTOR) |
| Authorized Official Telephone | 3864237575 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10882 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3945 S Nova Rd, Port Orange, FL 321274910 | 3867671100 |
| Street Address |
201 S RIDGEWOOD AVE STE 11 |
| City | EDGEWATER |
| State | FL |
| Zip Code | 32132-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124389663 | Jeannine Parisi | Technician | 1610 Royal Palm Dr, Edgewater, FL 32132 | 2012-05-31 |
| 1992071575 | Mary E. Curtiss | Dietitian, Registered | 104 W. Knapp Ave, Edgewater, FL 32132 | 2012-03-28 |
| 1285923284 | Bhi of Central Florida Corporation | Non-emergency Medical Transport (VAN) | 1869 India Palm Dr, Edgewater, FL 32132 | 2011-03-31 |
| 1649440728 | Advanced Care Agency Inc. | Nurse's Aide | 212 Shangri La Circle, Edgewater, FL 32132 | 2008-03-05 |
| 1962544031 | Mary Daine Swindle | Nurse's Aide | 212 Shangri La Cr, Edgewater, FL 32132 | 2007-02-13 |
| 1003957465 | Alan Leonard Horowitz | Chiropractor | 612 N Ridgewood Ave, Suite I, Edgewater, FL 32132 | 2007-02-09 |
| 1255415550 | Professional Physical Therapy and Associates Ltd Co | Physical Therapist | 1316 S. Ridgewood Avenue, Suite 1, Edgewater, FL 32132 | 2006-10-24 |
| 1205919362 | David Storm Chess | Chiropractor | 930 S Ridgewood Ave, Edgewater, FL 32132 | 2006-10-23 |
| 1235231242 | Roger Prieto | Dentist | 1401 S Ridgewood Ave, Edgewater, FL 32132 | 2006-09-01 |
| 1497861306 | Crystal R Mead | Physician Assistant | 109 W Knapp Avenue, Edgewater, FL 32132 | 2006-08-22 |
| Find all providers in zip 32132 | ||||
| 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 |
|---|---|---|---|---|
| 1689224537 | Melissa Cabral-barsottelli | Chiropractor | 115 W Knapp Ave, Edgewater, FL 32132-1503 | 2019-09-12 |
| 1699105791 | Todd Williams | Chiropractor | 2045 Sheridan Blvd Unit G, Edgewater, CO 80214-1305 | 2013-11-26 |
| 1780933143 | Derek Carroll Curran | Chiropractor | 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 | 2012-08-31 |
| 1285919456 | Timothy Martin Steflik | Chiropractor | 315 N Ridgewood Ave, Edgewater, FL 32132-1617 | 2011-10-19 |
| 1396023313 | Christian Patrick Grause | Chiropractor | 103 E Connecticut Ave, Edgewater, FL 32132-2360 | 2011-07-25 |
| 1023312204 | Hongsoon Lim | Chiropractor | 1506 Hudson Park, Edgewater, NJ 07020-1572 | 2011-01-03 |
| 1316172877 | First Step Solutions Inc | Chiropractor | 935 River Rd Ste 100, Edgewater, NJ 07020-2233 | 2009-05-27 |
| 1639317456 | Essence of Life Wellness Center, LLC | Chiropractor | 89 Stewart Dr, Edgewater, MD 21037-1645 | 2009-02-02 |
| 1770758583 | Seiichiro Ando | Chiropractor | 725 River Rd Ste 101, Edgewater, NJ 07020-1149 | 2008-04-23 |
| 1609047224 | Judd T Laurie | Chiropractor | 2331 S Ridgewood Ave, Edgewater, FL 32141-4228 | 2008-03-23 |
| Find all providers in EDGEWATER | ||||
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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.