First Medical and Rehab of Bradenton, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

21453 Issued in FL

Legal business name

FIRST MEDICAL AND REHAB OF BRADENTON, LLC

Practice address

3220 1St Street West
Bradenton, FL 34208-4055

Phone

(941) 567-5669

Fax

(941) 896-9706

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Evelyne Franclin

Title

President

Phone

(941) 567-5669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1114367901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 1ST STREET WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084055",
            "telephone_number": "941-567-5669",
            "fax_number": "941-896-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 1ST STREET WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342084055",
            "telephone_number": "941-567-5669",
            "fax_number": "941-896-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MEDICAL AND REHAB OF BRADENTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "FRANCLIN",
        "authorized_official_first_name": "EVELYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-567-5669",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "21453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kenneth R Fiscella, MD
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• Ronald Thomas Fisher, RPH, CDM
• Dwight L. Fitch, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.