Active NPI
Live Well for Life, LLC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1184850356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9636
- Legal business name
- LIVE WELL FOR LIFE, LLC
- Practice address
- 4495 Baymeadows Rd Ste 9
Jacksonville, FL 32217-4716 - Phone
- (904) 425-8070
- NPI assigned
- Jun 2, 2009
- 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. Nicole Anzalone, D.C
- Title
- Owner
- Phone
- (904) 425-8070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9636 | FL | Primary |
Addresses
Primary practice location
4495 Baymeadows Rd Ste 9
Jacksonville, FL 32217-4716
Mailing address
410-9 Blanding Blvd
321
Orange Park, FL 32073
Phone (904) 425-8070
National Provider Directory
National Provider DirectoryLocations
4495 Baymeadows Rd
Ste 9
Jacksonville, FL 32217
Phone (904) 425-8070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243900800000",
"number": "1184850356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410-9 BLANDING BLVD",
"address_2": "321",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "32073",
"telephone_number": "904-425-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 BAYMEADOWS RD STE 9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174716",
"telephone_number": "904-425-8070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE WELL FOR LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A",
"authorized_official_last_name": "ANZALONE",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-425-8070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9636",
"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 Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.