Dr. Doctor D.I.S.C. Clinic P. a.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CH9349 Issued in FL

Legal business name

DR. DOCTOR D.I.S.C. CLINIC P. A.

Practice address

115 W 8TH St
Jacksonville, FL 32206-3657

Phone

(904) 350-3737

Fax

(904) 358-7749

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Zeboye Archell Doctor, D.C.NPI 1609075373

Title

Ceo/Chiropractor

Phone

(904) 350-3737

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zeboye Archell Doctor, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1609075373
  NPD (past) Authorized official

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1023323441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063657",
            "telephone_number": "904-350-3737",
            "fax_number": "904-358-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063657",
            "telephone_number": "904-350-3737",
            "fax_number": "904-358-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOCTOR D.I.S.C. CLINIC P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "DOCTOR",
        "authorized_official_first_name": "ZEBOYE",
        "authorized_official_middle_name": "ARCHELL",
        "authorized_official_title_or_position": "CEO/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-350-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH9349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.