Elevate Chiropractic Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELEVATE CHIROPRACTIC WELLNESS LLC

Practice address

2041 NW 85TH Way
Pembroke Pines, FL 33024-3445

Phone

(954) 744-6812

NPI assigned

Jul 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Eric Cardoza, DC

Title

Owner/Ceo

Phone

(954) 744-6812

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1255983383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 NW 85TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 NW 85TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243445",
            "telephone_number": "954-744-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE CHIROPRACTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "CARDOZA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "954-744-6812",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.