Royal Palm Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9721 Issued in FL

Legal business name

ROYAL PALM CHIROPRACTIC LLC

Practice address

1180 Ponce de Leon Blvd Ste 601B
Clearwater, FL 33756-1031

Phone

(727) 400-4807

Fax

(727) 400-4809

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Theresa A Martin, DC

Title

Owner

Phone

(727) 400-4807

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1235405135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD STE 601B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561031",
            "telephone_number": "727-400-4807",
            "fax_number": "727-400-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD STE 601B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561031",
            "telephone_number": "727-400-4807",
            "fax_number": "727-400-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PALM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-400-4807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Rovin, MD
• Joshua Rowe, RPH
• John Roy, MD
• Terry D Roy, CRNA
• Royal Medical LLC
• Amanda Royal
• RTJ DC Inc
• Molly Gerken Ruane, NP-C
• Kelly Lynn Rubin
• David Rubio Jr., PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.