Kissimmee Injury Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10638 Issued in FL

Legal business name

KISSIMMEE INJURY CLINIC LLC

Practice address

512 W Cherry St
Kissimmee, FL 34741-4114

Phone

(321) 280-5052

NPI assigned

Jun 20, 2014

Last updated

Jun 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Junaid Q Khan, DC

Title

Owner/DC

Phone

(321) 280-5052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1053725747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S STATE ROAD 434 STE 1049A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143859",
            "telephone_number": "321-280-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W CHERRY ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414114",
            "telephone_number": "321-280-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER/DC",
        "authorized_official_telephone_number": "321-280-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.