The Lohad Center for Anti-Aging

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0057407 Issued in FL

Legal business name

THE LOHAD CENTER FOR ANTI-AGING

Practice address

8761 Perimeter Park Blvd Ste 101
Jacksonville, FL 32216-6397

Phone

(904) 645-8778

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Leslie Kincart

Title

President

Phone

(904) 645-8778

Specialties & licenses 2

Addresses

Practitioners 1

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

• Loren Douglas Thornton, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1881767341
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1235454000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8761 PERIMETER PARK BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166397",
            "telephone_number": "904-645-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8761 PERIMETER PARK BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166397",
            "telephone_number": "904-645-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOHAD CENTER FOR ANTI-AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "KINCART",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-645-8778"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0057407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.