DR. JACK JOSEPH CACIC


Address: 17 N H St, Lake Worth, FL 33460-3701
Phone: 5615472210

DR. JACK JOSEPH CACIC (NPI# 1922201284) 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) 1922201284
Entity Type Individual
Full Name DR. JACK JOSEPH CACIC
Credential D.C.
Practice Address 17 N H St
Lake Worth
FL 33460-3701
Practice Telephone 5615472210
Practice Fax Number 5615476689
Mailing Telephone 5615472210
Mailing Fax Number 5615476689
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 111NS0005X Chiropractor
Specialization: Sports Physician
CH7724 FL Chiropractic Providers
X 111NR0400X Chiropractor
Specialization: Rehabilitation
CH7724 FL Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 54015 01

Office Location

Street Address 17 N H ST
City LAKE WORTH
State FL
Zip Code 33460-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912102021 Jack Cacic and Company Inc Chiropractor 17 N H St, Lake Worth, FL 33460-3701 2007-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265069694 Soma Medical Center, P.a. Internal Medicine 330 South Dixie Hway, Lake Worth, FL 33460 2020-03-25
1659920072 Dr G's Pharmacy, Inc Pharmacy 127 N Dixie Highway, Lake Worth, FL 33460 2019-09-09
1710542428 Paul Robert Ahr Psychologist 702 N. Lakeside Drive, Lake Worth Beach, FL 33460 2019-05-08
1548732985 Pickens Allison Gantt IIi Acupuncturist 1505 N Federal Hwy, Lake Worth, FL 33460 2018-12-26
1992297634 Awilda Theodore Homemaker 824a Lake Ave, #309, Lake Worth, FL 33460 2018-05-30
1326562646 Candy Marie Contrerez Behavior Technician 1306 S H St, Lake Worth, FL 33460 2017-07-28
1679003602 Sylvia Grant Registered Nurse 919 12th Ave S, Lake Worth, FL 33460 2017-06-13
1720510662 Jessica Montanez Technician, Other 1831 17th Court N, Lake Worth, FL 33460 2017-03-30
1629209630 Emilia Isaza Dentist 325 S. Dixie Hwy, Suite #5, Lake Worth, FL 33460 2009-08-07
1174767909 Cameron Bishop Acupuncturist 1505 North Federal Highway, Lake Worth, FL 33460 2009-04-23
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962946665 Mark E. Baum, D.c. Chiropractor 6701 Sunset Dr Ste 209, South Miami, FL 33143-4529 2016-12-14
1386046928 Leigh Ann Pauley Chiropractor 2816 Windguard Cir Ste 101, Wesley Chapel, FL 33544-7368 2014-09-25
1205237286 Americas Chiropractic & Wellness Ctr, LLC Chiropractor 8994 Taft St, Pembroke Pines, FL 33024-4668 2014-09-10
1821428954 Jesse Robert Hodges Jr. Chiropractor 1780 S Nova Rd Ste 4, South Daytona, FL 32119 2013-11-27
1356778658 Chiropractic Usa Chiropractor 2150 Nw 21st St, Miami, FL 33142-7318 2013-10-01
1326484718 Mellman Chiropractic Group Pa Chiropractor 4263 Sw 64th Ave, Davie, FL 33314-3461 2013-05-13
1801138375 Abundance Spa and Rehab, Inc Chiropractor 3650 Sw 10th St, 1-b, Deerfield Beach, FL 33442-5997 2013-03-22
1881942332 James Cyril Spencer Chiropractor 401 W Atlantic Ave., Ste 015, Delray Beach, FL 33444 2012-08-15
1386926475 Midnight Pass Chiropractic, Inc Chiropractor 4012 Cortez Rd W, Suite #2206, Bradenton, FL 34210-3109 2011-09-14
1467750695 Audrey Warnick Chiropractor 313 Beechwood Dr, Crawfordville, FL 32327-2539 2011-03-11
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Competitor

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City LAKE WORTH
Zip Code 33460

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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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