Hofstee Chiropractic & Wellness Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7507 Issued in FL

Legal business name

HOFSTEE CHIROPRACTIC & WELLNESS CLINIC LLC

Practice address

207 NW Saint James Dr
Port St Lucie, FL 34983-1291

Phone

(772) 878-3240

Fax

(772) 878-5936

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Benjamin Hofstee, D.C.

Title

Owner

Phone

(772) 878-3240

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1013150804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831291",
            "telephone_number": "772-878-3240",
            "fax_number": "772-878-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NW SAINT JAMES DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831291",
            "telephone_number": "772-878-3240",
            "fax_number": "772-878-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFSTEE CHIROPRACTIC & WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "HOFSTEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-878-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "E2023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.