Soroka Starbuck PA Dba Family Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5044 Issued in FL

Legal business name

SOROKA STARBUCK PA DBA FAMILY CHIROPRACTIC CENTER

Practice address

35 Clayton LN
Suite a
Santa Rosa Beach, FL 32459-5781

Phone

(850) 231-0211

Fax

(850) 231-6006

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Keith Soroka, D.C.

Title

Director/Owner

Phone

(850) 231-2011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1255526109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CLAYTON LN",
            "address_2": "SUITE A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595781",
            "telephone_number": "850-231-0211",
            "fax_number": "850-231-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CLAYTON LN",
            "address_2": "SUITE A",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595781",
            "telephone_number": "850-231-0211",
            "fax_number": "850-231-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROKA STARBUCK PA DBA FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "SOROKA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "850-231-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380668500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itetra Smith
• Jessica Smith
• Peyton Smith
• Tamra Snook, LCSW
• Sophrosyne Florida
• Brian Keith Soroka, D.C.
• South Walton Academy, Inc.
• South Walton Fire District
• South Walton Pharmacy LLC (Pharma Fusion)
• South Walton Physical Therapy and Rehabilitation, Inc

• Chiropractor in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.