Active NPI
Island Breeze Chiropractic and Wellness Center
- Rehabilitation Chiropractor
- Tamarac, FL
National Provider Identifier
1164099453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- ISLAND BREEZE CHIROPRACTIC AND WELLNESS CENTER
- Practice address
- 7128 W McNab Rd
Tamarac, FL 33321-5306 - Phone
- (954) 720-3002
- Fax
- (833) 245-8178
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Latoya Evans, DC
- Title
- Owner
- Phone
- (954) 720-3002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
7128 W McNab Rd
Tamarac, FL 33321-5306
Mailing address
7128 W McNab Rd
Tamarac, FL 33321-5306
Phone (954) 720-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427302348 | Other | FL | NPPES |
Other names 1
- Island Breeze Chiro and Wellness Center
National Provider Directory
National Provider DirectoryLocations
7128 W McNab Rd
Tamarac, FL 33321
Phone (954) 718-5105
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Homestead, FL
- NPI 1427302348
-
- Chiropractor
- Tamarac, FL
- NPI 1346508553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623024000000",
"number": "1164099453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7128 W MCNAB RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333215306",
"telephone_number": "954-720-3002",
"fax_number": "833-245-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7128 W MCNAB RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333215306",
"telephone_number": "954-720-3002",
"fax_number": "833-245-8178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND BREEZE CHIROPRACTIC AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-720-3002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1427302348",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Breeze Chiro and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.