Circle of Life Wellness, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CIRCLE OF LIFE WELLNESS, INC.

Practice address

1995 N Volusia Ave
Orange City, FL 32763-2829

Phone

(386) 473-7114

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth L Jurenko, DC

Title

President

Phone

(386) 473-7114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1235787276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 N VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632829",
            "telephone_number": "386-473-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 N VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632829",
            "telephone_number": "386-473-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "JURENKO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-473-7114",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Christo, APRN
• Chy-Ching Chuang, PT
• Morad Chughtai, MD
• Tatianna Ciambra
• Joseph Anthony Ciccone, RPH
• Susan Marie Clark, PMHNP-BC
• Katie Elizabeth Cline, OTR/L
• CLN Therapeutic Solutions (Cindy L. Nelson)
• David Clymer, DPT, PT, ATC. LAT
• Coast Florida P.a. (Coast Dental-Orange City)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.