Madigan Family LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11133 Issued in FL

Legal business name

MADIGAN FAMILY LLC

Practice address

4098 SW Balleto St
Port St Lucie, FL 34953-5382

Phone

(772) 267-0425

NPI assigned

Feb 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Justin M Madigan, D.C.

Title

Manager

Phone

(772) 267-0425

Specialties & licenses 1

Addresses

Other names 1

• Madigan Family Health Center Doing business as

Locations

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456531200000",
    "number": "1235599689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 SW BALLETO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535382",
            "telephone_number": "772-267-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 SW BALLETO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535382",
            "telephone_number": "772-267-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIGAN FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A",
        "authorized_official_last_name": "MADIGAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-267-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madigan Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracey Irene Maccia, ITDS
• Tina Louise Macdougall, APRN, FNP-BC
• Omar Agustin Machado Franco
• Ana Paula Machado-Hopkins, M.D.
• Macmillan Paul and Burkarth PA
• Keith Ryan Madonia, PT
• Tatiana C Madonia, PT
• Cecelia Mary Magaw
• Magda Care Services LLC
• Mahant Pharmacy Inc

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.