South Mandarin Chiropractic & Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9192 Issued in FL

Legal business name

SOUTH MANDARIN CHIROPRACTIC & WELLNESS

Practice address

12058 San Jose Blvd Ste 301
Jacksonville, FL 32223-1842

Phone

(904) 880-3271

Fax

(904) 880-3273

NPI assigned

Feb 18, 2007

Organization subpart

No

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

Authorized official

Name

William Molesky, D.C

Title

Associate

Phone

(904) 880-3271

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114061546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-880-3271",
            "fax_number": "904-880-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231842",
            "telephone_number": "904-880-3271",
            "fax_number": "904-880-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MANDARIN CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLESKY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "904-880-3271",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlantic Retina PLLC (South Atlantic Retina)
• South Florida Counseling and Awareness Center (Solutions Counseling)
• South Jacksonville Dental PLLC (Aspen Dental)
• South Jacksonville FL Caregiving LLC (Cornerstone Caregiving)
• South Jacksonville FL Opco LLC (University Center for Nursing and Healing)
• South Mandarin Chiropractic and Wellness, Inc.
• South Rehabilitation Center, Inc.
• Catherine Nicole South
• Matthew Travis South
• Cathleen Helena Southall, ARNP

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

• 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.