TRADITION FAMILY CHIROPRACTIC (NPI# 1942673223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942673223 |
| Entity Type | Organization |
| Organization Name | TRADITION FAMILY CHIROPRACTIC |
| Practice Address |
10552 Sw Village Pkwy Port St Lucie FL 34987-2359 |
| Practice Telephone | 9549338260 |
| Mailing Telephone | 9549338260 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | DR. RAVI BARRY JITTA (MANAGER) |
| Authorized Official Telephone | 9549338260 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10842 | FL | Chiropractic Providers |
| Street Address |
10552 SW VILLAGE PKWY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| 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 |
|---|---|---|---|---|
| 1801318076 | Victoria Kustarz | Chiropractor | 456 Se Jupiter Ter, Port St Lucie, FL 34983-3212 | 2017-07-10 |
| 1235599689 | Madigan Family LLC | Chiropractor | 4098 Sw Balleto St, Port St Lucie, FL 34953-5382 | 2016-02-27 |
| 1740660026 | Aaron Gajeske | Chiropractor | 7430 S Us Highway 1 Ste 7448, Port St Lucie, FL 34952 | 2015-06-02 |
| 1386034676 | Cox Chiropractic | Chiropractor | 625 Sw Jacoby Ave, Port St Lucie, FL 34953-3954 | 2015-01-26 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| 1447673876 | Trena Marie Adams | Chiropractor | 111 Sw Chapman Ave, Port St Lucie, FL 34984-4310 | 2014-01-21 |
| 1346507837 | Central Palm Beach Physicians & Urgent Care Inc | Chiropractor | 1903 Port St. Lucie Blvd, Port St Lucie, FL 34952 | 2012-04-20 |
| 1548540651 | Amber Wehrle | Chiropractor | 10081 Sw Dolce Rd, Port St Lucie, FL 34986 | 2011-08-19 |
| 1326367269 | Victoria J Vislocky | Chiropractor | 149 Sw Port St Lucie Blvd, Port St Lucie, FL 34984-5017 | 2010-05-18 |
| 1588982367 | Health Port Chiropractic Inc | Chiropractor | 1502 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5449 | 2010-05-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on TRADITION FAMILY CHIROPRACTIC.
| 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.