Impact Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IMPACT MEDICAL LLC

Practice address

6735 Conroy Rd Ste 331
Orlando, FL 32835-3568

Phone

(407) 614-8898

Fax

(407) 634-3207

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas HealyNPI 1043629074

Title

Owner

Phone

(763) 229-3537

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicholas Benjamin Healy, D.C.

  • Chiropractor
  • Winter Garden, FL
  • NPI 1043629074
  NPD Authorized official

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1245993765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873523",
            "telephone_number": "763-229-3537",
            "fax_number": "407-634-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 CONROY RD STE 331",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353568",
            "telephone_number": "407-614-8898",
            "fax_number": "407-634-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-229-3537",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immediate Health Care Centers, Inc.
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• Samme Imondi, APRN
• Janet Jenkin Imp, M.D.
• Impact Central Florida Inc
• Marie Carolyn Imparato
• Impeccable Seniors Care
• Impeccable Seniors Care LLC
• Implied Human Dynamics Personal Care Home
• Impression Collection LLC

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.