NPIMap

Organization Active NPI

Chiropractic & Acupuncture of Florida, LLC

Doing business as Chiropractic & Physical Therapy of Florida

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1043589492
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7089 Issued in FL
Legal business name
CHIROPRACTIC & ACUPUNCTURE OF FLORIDA, LLC
Doing business as
Chiropractic & Physical Therapy of Florida
Practice address
5108 N Habana Ave
Suite 1
Tampa, FL 33614-6822
Phone
(813) 644-7017
Fax
(813) 644-7018
NPI assigned
Dec 14, 2011
Last updated
Dec 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Wendell Martin Underwood, D.C.NPI 1033160619
Title
Managing Member
Phone
(813) 644-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7089 FL Primary

Addresses

Primary practice location

5108 N Habana Ave
Suite 1
Tampa, FL 33614-6822

Mailing address

5108 N Habana Ave
Suite 1
Tampa, FL 33614-6822
Phone (813) 644-7017

Other names 1

  • Chiropractic & Physical Therapy of Florida Doing business as

National Provider Directory

National Provider Directory

Locations

5108 N Habana Ave
Ste 1
Tampa, FL 33614
Phone (813) 644-7017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1043589492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 N HABANA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146822",
            "telephone_number": "813-644-7017",
            "fax_number": "813-644-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 N HABANA AVE",
            "address_2": "SUITE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146822",
            "telephone_number": "813-644-7017",
            "fax_number": "813-644-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & ACUPUNCTURE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-644-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic & Physical Therapy of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.