Elan Vital Healthcare Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9017 Issued in FL

Legal business name

ELAN VITAL HEALTHCARE INC

Practice address

4640 N Federal Hwy
Suite D
Fort Lauderdale, FL 33308-5205

Phone

(954) 267-9963

NPI assigned

Feb 27, 2007

Last updated

Jan 24, 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. Peter V Matrale, D.C.NPI 1700950524

Title

President

Phone

(954) 267-9963

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Peter V. Matrale, D.C.

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1700950524
  Authorized official Same address or phone
• Jamie Lynn Fleagane, D.C.

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1922130061
  NPD (past)
• James E. Jack, DC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1063517068
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1063549939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205",
            "telephone_number": "954-267-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N FEDERAL HWY",
            "address_2": "SUITE D",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085205",
            "telephone_number": "954-267-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAN VITAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "MATRALE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-267-9963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Damian E Eker, DNP, GNP
• Layall El-McHarfie
• Marwan Elannan, PHARMD
• Shoham Elazar, DMD
• Erin Elizabeth Elberson Lyon, PT
• Esther Elbogen, PA
• Elderpro LLC

• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.