NPIMap

Organization Active NPI

Ace Diagnostics LLC

  • Neurology Chiropractor
  • Jacksonville, FL
National Provider Identifier
1114348364
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH9776 Issued in FL
Legal business name
ACE DIAGNOSTICS LLC
Practice address
7835 Chase Meadows Dr E
Jacksonville, FL 32256-4642
Phone
(315) 254-8495
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Vanessa Wilczak, D.C.
Title
Owner
Phone
(315) 254-8495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH9776 FL Primary

Addresses

Primary practice location

7835 Chase Meadows Dr E
Jacksonville, FL 32256-4642

Mailing address

PO Box 550732
Jacksonville, FL 32255-0732

National Provider Directory

National Provider Directory
Tax ID family
Ace Diagnostics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1114348364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550732",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322550732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 CHASE MEADOWS DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564642",
            "telephone_number": "315-254-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "WILCZAK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-254-8495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH9776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.