Organization Active NPI

Garvin Family Ventures LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1083411565
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GARVIN FAMILY VENTURES LLC
Practice address
550 Balmoral Cir N Ste 306-307
Jacksonville, FL 32218-5598
Phone
(904) 803-1673
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Immanuel Ishmael Garvin, DCNPI 1477384964
Title
Owner
Phone
(904) 803-1673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

550 Balmoral Cir N Ste 306-307
Jacksonville, FL 32218-5598

Mailing address

550 Balmoral Cir N Ste 306-307
Jacksonville, FL 32218-5598
Phone (904) 586-2692

Other names 1

  • Garvin Family Chiropractic & Holistic Wellness Center Doing business as

National Provider Directory

National Provider Directory

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": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1083411565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BALMORAL CIR N STE 306-307",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185598",
            "telephone_number": "904-586-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BALMORAL CIR N STE 306-307",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185598",
            "telephone_number": "904-803-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVIN FAMILY VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "IMMANUEL",
        "authorized_official_middle_name": "ISHMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-803-1673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garvin Family Chiropractic & Holistic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.