Active NPI
Vitality Family Chiropractic and Wellness Center
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1184108557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VITALITY FAMILY CHIROPRACTIC AND WELLNESS CENTER
- Practice address
- 3636 University Blvd S Ste B3
Jacksonville, FL 32216-4223 - Phone
- (904) 434-3465
- Fax
- (904) 802-7977
- NPI assigned
- Sep 20, 2018
- 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
- Yamilette Marie Lopez Rivera
- Title
- Ceo
- Phone
- (904) 434-3465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3636 University Blvd S Ste B3
Jacksonville, FL 32216-4223
Mailing address
3636 University Blvd S Ste B3
Jacksonville, FL 32216-4223
Phone (904) 434-3465
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2239885 | Vitality Family Chiropractic & Wellness Ctr | Certificate of waiver | Oct 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
6349 Beach Blvd
Jacksonville, FL 32216
Phone (904) 434-3465
3636 University Blvd S
Ste B3
Jacksonville, FL 32216
Phone (904) 434-3465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632268800000",
"number": "1184108557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S STE B3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164223",
"telephone_number": "904-434-3465",
"fax_number": "904-802-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S STE B3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164223",
"telephone_number": "904-434-3465",
"fax_number": "904-802-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY FAMILY CHIROPRACTIC AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-20",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A",
"authorized_official_last_name": "LOPEZ RIVERA",
"authorized_official_first_name": "YAMILETTE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-434-3465"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"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 Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.