Chiromedic Healthcare Associates, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9004 Issued in FL

Legal business name

CHIROMEDIC HEALTHCARE ASSOCIATES, LLC

Practice address

6075 SW 72ND Street
Suite 203
Miami, FL 33143-3314

Phone

(305) 971-0302

Fax

(305) 971-8222

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul L Guadagno, DC

Title

Owner

Phone

(305) 971-0302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285133538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 SW 72ND ST STE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435000",
            "telephone_number": "305-971-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 SW 72ND STREET",
            "address_2": "SUITE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331433314",
            "telephone_number": "305-971-0302",
            "fax_number": "305-971-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12060 SW 129th Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864582",
            "country_code": "US",
            "telephone_number": "786-429-1937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIROMEDIC HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GUADAGNO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-971-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9004",
            "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 Mar 17, 2018; 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.