Organization Active NPI

In Line Chiropractic and Wellness Center LLC

  • Chiropractor
  • Gulf Breeze, FL
National Provider Identifier
1033630751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11781 Issued in FL
Legal business name
IN LINE CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
5668 Gulf Breeze Pkwy # B6
Gulf Breeze, FL 32563-9524
Phone
(850) 565-4445
NPI assigned
Jul 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Amber Tucei, DCNPI 1841658119
Title
Doctor/Owner
Phone
(850) 565-4445

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 CH11781 FL Primary

Addresses

Primary practice location

5668 Gulf Breeze Pkwy # B6
Gulf Breeze, FL 32563-9524

Mailing address

5668 Gulf Breeze Pkwy # B6
Gulf Breeze, FL 32563-9524
Phone (850) 565-4445

Other practice location 1

12 Calle Traviesa
Pensacola Beach, FL 32561
Phone (850) 207-0165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171110001887 FL Part B Supplier - Clinic/Group Practice 4789940578 Receives reassigned benefits from 1 practitioner
Practice locations: Gulf Breeze, FL

National Provider Directory

National Provider Directory
Tax ID family
In Line Chiropractic and Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5668 Gulf Breeze Pkwy
#B6
Gulf Breeze, FL 32563
Phone (850) 565-4445

5668 Gulf Breeze Pkwy
Unit 6
Gulf Breeze, FL 32563
Phone (850) 207-0165

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": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033630751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 GULF BREEZE PKWY # B6",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639524",
            "telephone_number": "850-565-4445",
            "fax_number": "850-565-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 GULF BREEZE PKWY # B6",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639524",
            "telephone_number": "850-565-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Calle Traviesa",
            "address_purpose": "LOCATION",
            "city": "Pensacola Beach",
            "state": "FL",
            "postal_code": "32561",
            "country_code": "US",
            "telephone_number": "850-207-0165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN LINE CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "TUCEI",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "850-565-4445",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.