Elite Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11275 Issued in FL

Legal business name

ELITE LIFE CHIROPRACTIC

Practice address

2320 North Blvd W Ste B
Davenport, FL 33837-8961

Phone

(863) 226-6300

Fax

(863) 240-0920

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Margarita Rivera

Title

Authorized Official

Phone

(863) 226-6300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidyleen Cruz, D.C.

  • Chiropractor
  • Davenport, FL
  • NPI 1104221241
  Medicare reassignment NPD

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1194184481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W STE B",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378961",
            "telephone_number": "863-226-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W STE B",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378961",
            "telephone_number": "863-226-6300",
            "fax_number": "863-240-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "863-226-6300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arline Edmondson
• Brittany Edward, CNP
• Stacy Helretiria Ehigiato
• Losemica Eiliassaint
• Elite Care of Central Florida PLLC
• Jamise Ellis
• Jaylen Ellison
• Jennifer Ellison
• Elon Health
• Elon Health Primary Care LLC

• Chiropractor in Davenport, FL
• Providers in Davenport, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.