NPIMap

Organization Active NPI

Advance Rehab Clinic, Inc

  • Chiropractor
  • Winter Haven, FL
National Provider Identifier
1104032432
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCE REHAB CLINIC, INC
Practice address
5340 Recker Hwy
BLDG. 2 Ste. a
Winter Haven, FL 33880-1256
Phone
(863) 401-3430
Fax
(863) 401-3465
NPI assigned
May 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Yves Morajeune
Title
President
Phone
(863) 401-3430

Specialties & licenses 1

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

Addresses

Primary practice location

5340 Recker Hwy
BLDG. 2 Ste. a
Winter Haven, FL 33880-1256

Mailing address

5340 Recker Hwy
BLDG. 2 Ste. a
Winter Haven, FL 33880-1256
Phone (863) 401-3430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104032432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 RECKER HWY",
            "address_2": "BLDG. 2 STE. A",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801256",
            "telephone_number": "863-401-3430",
            "fax_number": "863-401-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 RECKER HWY",
            "address_2": "BLDG. 2 STE. A",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338801256",
            "telephone_number": "863-401-3430",
            "fax_number": "863-401-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE REHAB CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORAJEUNE",
        "authorized_official_first_name": "YVES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-401-3430"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.