Active NPI
Divine UC Chiropractic, PLLC
- Chiropractor
- Indian Harbour Beach, FL
National Provider Identifier
1093527129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DIVINE UC CHIROPRACTIC, PLLC
- Practice address
- 250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874 - Phone
- (321) 241-4801
- NPI assigned
- Jan 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosa Elena Vince, DC
- Title
- Chiropractor
- Phone
- (415) 902-9009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874
Mailing address
250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874
Phone (321) 241-4801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937
Phone (321) 241-4801
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Indian Harbour Beach, FL
- NPI 1780496810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1093527129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E EAU GALLIE BLVD",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374874",
"telephone_number": "321-241-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E EAU GALLIE BLVD",
"city": "INDIAN HARBOUR BEACH",
"state": "FL",
"postal_code": "329374874",
"telephone_number": "321-241-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE UC CHIROPRACTIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "VINCE",
"authorized_official_first_name": "ROSA",
"authorized_official_middle_name": "ELENA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "415-902-9009",
"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": []
}
Other providers in Indian Harbour Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.