Organization Active NPI

Functional Health Planning, LLC

Doing business as Florida Functional Neurology Group

  • Neurology Chiropractor
  • Lady Lake, FL
National Provider Identifier
1245721620
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH10093 Issued in FL
Legal business name
FUNCTIONAL HEALTH PLANNING, LLC
Doing business as
Florida Functional Neurology Group
Practice address
1000 Main Street
MVP Athletic Club, #237
Lady Lake, FL 32159
Phone
(352) 571-5155
Fax
(352) 633-1396
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Alexander Charles Frank, DC, DACNBNPI 1548585797
Title
Owner
Phone
(352) 571-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH10093 FL Primary

Addresses

Primary practice location

1000 Main Street
MVP Athletic Club, #237
Lady Lake, FL 32159

Mailing address

1000 Main Street
MVP Athletic Club, #237
Lady Lake, FL 32159
Phone (352) 571-5155

Other names 1

  • Florida Functional Neurology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210002419 FL Part B Supplier - Clinic/Group Practice 9234473760 Receives reassigned benefits from 1 practitioner
Practice locations: Wildwood, FL

National Provider Directory

National Provider Directory

Locations

1507 Buenos Aires Blvd
The Villages, FL 32159
Phone (352) 350-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1245721620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN STREET",
            "address_2": "MVP ATHLETIC CLUB, #237",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-571-5155",
            "fax_number": "352-633-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAIN STREET",
            "address_2": "MVP ATHLETIC CLUB, #237",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-571-5155",
            "fax_number": "352-633-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH PLANNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-571-5155",
        "authorized_official_credential": "DC, DACNB"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH10093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Functional Neurology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.