Organization Active NPI

Atlantic Nutrition Centers, LLC

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1033422100
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9613 Issued in FL
Legal business name
ATLANTIC NUTRITION CENTERS, LLC
Practice address
145 Cypress Point Pkwy
Suite 104
Palm Coast, FL 32164-8426
Phone
(386) 274-2520
Fax
(386) 274-2521
NPI assigned
Jul 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Michael Epitropoulos, DC, PHDNPI 1447413620
Title
Owner
Phone
(386) 274-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9613 FL Primary

Addresses

Primary practice location

145 Cypress Point Pkwy
Suite 104
Palm Coast, FL 32164-8426

Mailing address

2441 Bellevue Ave
Daytona Beach, FL 32114-5615
Phone (386) 274-2520

National Provider Directory

National Provider Directory

Locations

145 Cypress Point Pkwy
Ste 104
Palm Coast, FL 32164
Phone (386) 274-2520

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1033422100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 BELLEVUE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145615",
            "telephone_number": "386-274-2520",
            "fax_number": "386-274-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CYPRESS POINT PKWY",
            "address_2": "SUITE 104",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648426",
            "telephone_number": "386-274-2520",
            "fax_number": "386-274-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NUTRITION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "EPITROPOULOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-274-2520",
        "authorized_official_credential": "DC, PHD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.