Elite Chiropractic & Sports Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10797 Issued in FL

Legal business name

ELITE CHIROPRACTIC & SPORTS REHAB LLC

Practice address

17941 US Highway 441
Mount Dora, FL 32757-6717

Phone

(352) 729-5105

Fax

(866) 645-7329

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Chad Eldridge, DC

Title

Physician/Owner

Phone

(310) 895-3085

Specialties & licenses 1

Addresses

Practitioners 2

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

• Robert Michael Bodine, D.C

  • Chiropractor
  • Oviedo, FL
  • NPI 1194964973
  NPD (past)
• Jonathan Craig Wise, D.C.

  • Chiropractor
  • Mount Dora, FL
  • NPI 1942446497
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1275875288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17941 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576717",
            "telephone_number": "352-729-5105",
            "fax_number": "866-645-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17941 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576717",
            "telephone_number": "352-729-5105",
            "fax_number": "866-645-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC & SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "310-895-3085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Durnin, MACCC-SLP
• Cathy J Eagle, MSN
• Allison Kelly Eaton
• Bernard Edinborough
• Elders of Mount Dora LLC
• Montea Ellis
• Emc 360, LLC
• Lauren K Engle, RDN, LDN
• Errico Chiropractic and Wellness
• Christopher Errico, DC

• Chiropractor in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.