Organization Active NPI

New Life Healthcare, LLC

  • Chiropractor
  • Ponte Vedra Beach, FL
National Provider Identifier
1043734106
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12247 Issued in FL
Legal business name
NEW LIFE HEALTHCARE, LLC
Practice address
1102 A1A N Ste 105
Ponte Vedra Beach, FL 32082-4098
Phone
(904) 763-9707
NPI assigned
Jul 31, 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
Dr. Sean Curtis Tracy, DC
Title
Chiropractic Physician, Ceo
Phone
(904) 763-9707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH12247 FL Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME73574 FL

Addresses

Primary practice location

1102 A1A N Ste 105
Ponte Vedra Beach, FL 32082-4098

Mailing address

1102 A1A N Ste 105
Ponte Vedra Beach, FL 32082-4098
Phone (904) 763-9707

National Provider Directory

National Provider Directory

Locations

1102 A1A N
Ste 105
Ponte Vedra Beach, FL 32082
Phone (904) 382-9790

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": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043734106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 105",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-763-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 105",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-763-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN, CEO",
        "authorized_official_telephone_number": "904-763-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12247",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME73574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.