Debra Jean Pavlovic, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9372 Issued in FL

Practice address

4122 El Camino Real E
Lakeland, FL 33813-1021

Phone

(863) 393-4169

Fax

(863) 937-6267

NPI assigned

Dec 2, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Pierce Chiropractic Clinic

  • Chiropractor
  • Jacksonville, FL
  • NPI 1598899080
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2016.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1164590410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 EL CAMINO REAL E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131021",
            "telephone_number": "863-393-4169",
            "fax_number": "863-937-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 EL CAMINO REAL E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131021",
            "telephone_number": "863-393-4169",
            "fax_number": "863-937-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008047",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009231",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3224",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul, D.M.D.
• Sharon Paul, LMHC, NCC
• Sujeirys Paulino, MD
• Ladia Shaqwunta Paulk
• Patricia Pavia Gonzalez
• Eve Gibson Paxton, DO
• Ashley Nicole Payne, APRN, CNM, C-EFM
• David Payne, PA
• Ryan Payne, PA
• Anthony Pazanese

• All providers in Lakeland, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.