East Coast Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10769 Issued in FL

Legal business name

EAST COAST CHIROPRACTIC

Practice address

3729 S Nova Rd
Port Orange, FL 32129-4233

Phone

(386) 761-0520

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Pelletier, DC

Title

Owner/Chiropractor

Phone

(386) 761-0520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1194079087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S ATLANTIC AVE APT 207",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185539",
            "telephone_number": "386-761-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294233",
            "telephone_number": "386-761-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "386-761-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Marie Eash, D.C.
• East Central Florida Outpatient Imaging LLC (Radiology Associates Belvedere)
• East Central Florida Outpatient Imaging LLC (Port Orange Imaging Center)
• East Central Florida Outpatient Imaging LLC (Radiology Associates Port Orange West)
• East Coast Behavioral Services
• East Volusia Family Practice PA
• Srikanth Eathiraju
• Frank Lorenza Eberheart Jr.
• Eccentia Care
• Juan Pablo Echavarria

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.