Poulos Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9754 Issued in FL

Legal business name

POULOS CHIROPRACTIC, LLC

Doing business as

Florida Spine & Rehab

Practice address

727 Northlake Blvd Ste 4
North Palm Beach, FL 33408-5242

Phone

(561) 904-6066

Fax

(561) 904-6076

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Irene Poulos

Title

Office Manager

Phone

(561) 252-3100

Specialties & licenses 1

Addresses

Other names 1

• Florida Spine & Rehab Doing business as

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1003182676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 NORTHLAKE BLVD STE 4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085242",
            "telephone_number": "561-904-6066",
            "fax_number": "561-904-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 NORTHLAKE BLVD STE 4",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085242",
            "telephone_number": "561-904-6066",
            "fax_number": "561-904-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POULOS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "POULOS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-252-3100"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Spine & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharmamedrx LLC (Mint Pharmacy and Skin Clinic)
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• Tatiana Pizzuti
• Plam Beach Stem Cell LLC
• PMR Medical Group
• Poulos Chiropractic, LLC
• Eduardo Prado I, D.D.S,M.S.D
• Professional Counseling and Consulting, Inc
• Prosperity Laboratory LLC
• Prosperity Palms, LLC

• Chiropractor in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.