Organization Active NPI

Camino Healthcare Center Inc

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1104901891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8964 Issued in FL
Legal business name
CAMINO HEALTHCARE CENTER INC
Practice address
815 N Pine Hills Rd
Suite B
Orlando, FL 32808-7234
Phone
(407) 294-2007
Fax
(407) 294-2263
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Agaezi O Ikwugwalu, DC
Title
President
Phone
(407) 701-4382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8964 FL Primary

Addresses

Primary practice location

815 N Pine Hills Rd
Suite B
Orlando, FL 32808-7234

Mailing address

815 N Pine Hills Rd
Suite B
Orlando, FL 32808-7234
Phone (407) 294-2007

National Provider Directory

National Provider Directory

Locations

815 N Pine Hills Rd
Ste B
Orlando, FL 32808
Phone (407) 294-2007

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104901891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N PINE HILLS RD",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087234",
            "telephone_number": "407-294-2007",
            "fax_number": "407-294-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N PINE HILLS RD",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087234",
            "telephone_number": "407-294-2007",
            "fax_number": "407-294-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO HEALTHCARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IKWUGWALU",
        "authorized_official_first_name": "AGAEZI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-701-4382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.