Organization Active NPI

Cloud Chiropractic of Winter Haven

  • Chiropractor
  • Winter Haven, FL
National Provider Identifier
1104419662
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLOUD CHIROPRACTIC OF WINTER HAVEN
Practice address
120 W Central Ave
Winter Haven, FL 33880-6313
Phone
(407) 399-9070
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Anicia O Vicente, MA
Title
Billing Director
Phone
(407) 399-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

120 W Central Ave
Winter Haven, FL 33880-6313

Mailing address

PO Box 3268
Orlando, FL 32802-3268
Phone (407) 399-9070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anicia@asynergybilling.com Direct

National Provider Directory

National Provider Directory

Locations

120 W Central Ave
Winter Haven, FL 33880

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1104419662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3268",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328023268",
            "telephone_number": "407-399-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806313",
            "telephone_number": "407-399-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD CHIROPRACTIC OF WINTER HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "ANICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "407-399-9070",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anicia@asynergybilling.com",
            "affiliation": "N",
            "endpointDescription": "anicia@asynergybilling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 W Central Ave",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338806313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 16, 2021; 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.