Light of Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11894 Issued in FL

Legal business name

LIGHT OF LIFE CHIROPRACTIC, LLC

Practice address

2515 N State Road 7 Ste 210
Margate, FL 33063-5758

Phone

(954) 597-6284

Fax

(954) 597-6292

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Leo, D.C

Title

Owner/Physician

Phone

(561) 305-7743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1093240632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N STATE ROAD 7 STE 210",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635758",
            "telephone_number": "954-597-6284",
            "fax_number": "954-597-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N STATE ROAD 7 STE 210",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635758",
            "telephone_number": "954-597-6284",
            "fax_number": "954-597-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "LEO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "561-305-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.