St Johns Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10335 Issued in FL

Legal business name

ST JOHNS FAMILY CHIROPRACTIC INC

Practice address

309 Kingsley Lake Dr
Ste 904
Saint Augustine, FL 32092-3047

Phone

(904) 547-2435

Fax

(904) 547-2419

NPI assigned

Feb 15, 2013

Organization subpart

No

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

Authorized official

Name

Melinda Tolitsky, D.C.NPI 1114278199

Title

Chiropractor

Phone

(904) 547-2435

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Melinda Tolitsky, D.C.

  • Chiropractor
  • St Augustine, FL
  • NPI 1114278199
  NPD (past) Authorized official

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1043550858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR",
            "address_2": "STE 904",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923047",
            "telephone_number": "904-547-2435",
            "fax_number": "904-547-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 KINGSLEY LAKE DR",
            "address_2": "STE 904",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923047",
            "telephone_number": "904-547-2435",
            "fax_number": "904-547-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "TOLITSKY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "904-547-2435",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U59218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Johns County Welfare Federation (Buckingham Smith Assisted Living Facility)
• St Johns County Welfare Federation (Samantha Wilson Care Center)
• St Johns County Welfare Federation (Bayview Home Health Of St Augustine)
• St Johns Eye Associates PA
• St Johns Eye Associates PA
• St Johns First Assistant
• St Johns Medical LLC Dba Amazing Spine Care
• St Johns Welfare Federation (The Pavilion Assisted Living Facility)
• St Johns Youth Academy
• St Vincent's Urgent Care Inc

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.