Lake Wales Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4000 Issued in FL

Legal business name

LAKE WALES CHIROPRACTIC CENTER INC

Practice address

343 W Central Ave
Suite 103
Lake Wales, FL 33853-4059

Phone

(863) 676-7619

Fax

(863) 676-7610

NPI assigned

Apr 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ronald L. Harrell, DCNPI 1285640136

Title

President

Phone

(863) 676-7619

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald L Harrell, D.C.

  • Chiropractor
  • Lake Wales, FL
  • NPI 1285640136
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1003081290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 W CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534059",
            "telephone_number": "863-676-7619",
            "fax_number": "863-676-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W CENTRAL AVE",
            "address_2": "SUITE 103",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534059",
            "telephone_number": "863-676-7619",
            "fax_number": "863-676-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WALES CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-676-7619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L & E Express Transport, Inc
• L & E Helping Hands LLC
• Salim Lahlou, M.D.
• Lake Wale Pediatric Internal Medicine P.a.
• Lake Wales Charter Schools Inc
• Lake Wales Clinic Corp
• Lake Wales Dental Associates
• Lake Wales Emergency Physicians, LLC
• Lake Wales Foot and Ankle Care, Inc
• Lake Wales Healthcare LLC (Grace Healthcare of Lake Wales)

• Chiropractor in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.