Organization Active NPI

Pancake Wellness Center of Florida LLC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1023289071
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0008612 Issued in FL
Legal business name
PANCAKE WELLNESS CENTER OF FLORIDA LLC
Practice address
910 N Main St
Kissimmee, FL 34744-4566
Phone
(407) 846-9355
NPI assigned
Mar 18, 2008
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Pamela Jane Pancake
Title
Office Manager/VP
Phone
(407) 846-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0008612 FL Primary

Addresses

Primary practice location

910 N Main St
Kissimmee, FL 34744-4566

Mailing address

910 N Main St
Kissimmee, FL 34744-4566
Phone (407) 846-9355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1023289071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444566",
            "telephone_number": "407-846-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444566",
            "telephone_number": "407-846-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCAKE WELLNESS CENTER OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PANCAKE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER/VP",
        "authorized_official_telephone_number": "407-846-9355"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.