Perry Chiropractic Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH4181 Issued in FL

Legal business name

PERRY CHIROPRACTIC CLINIC, INC.

Practice address

305 N Orange St
Perry, FL 32347-2726

Phone

(850) 584-7117

Fax

(850) 584-7119

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lee Steven Nelsen, D.C.

Title

Ceo

Phone

(850) 584-7117

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1184871667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N ORANGE ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472726",
            "telephone_number": "850-584-7117",
            "fax_number": "850-584-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N ORANGE ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472726",
            "telephone_number": "850-584-7117",
            "fax_number": "850-584-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-584-7117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH4181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005448400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marsha Kelly Oxamendi, LCSW
• Rachel D Padgett, R.N.
• Tiffanee Ann Padgett, ARNP
• Kevin K Patel, PHARM.D
• Veera Venkata S Babu Paturi, MBBS
• Perry Emergency Physicians LLC
• Perry Facility Operations LLC
• Perry Health Care Associates LLC
• Perry Spine Center
• Stephen Pfost, RPH

• Clinic/Center in Perry, FL
• Providers in Perry, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.