Organization Active NPI

Pasco Alternative Healthcare

Doing business as Gulf Coast Injury Center

  • Chiropractor
  • Holiday, FL
National Provider Identifier
1285757369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8475 Issued in FL
Legal business name
PASCO ALTERNATIVE HEALTHCARE
Doing business as
Gulf Coast Injury Center
Practice address
2216 US Highway 19
Holiday, FL 34691-4351
Phone
(727) 943-0300
Fax
(727) 943-0339
NPI assigned
Apr 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Ann Clamon
Title
Clinic Director
Phone
(727) 973-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8475 FL Primary

Addresses

Primary practice location

2216 US Highway 19
Holiday, FL 34691-4351

Mailing address

2216 US Highway 19
Holiday, FL 34691-4351
Phone (727) 943-0300

Other identifiers 1

IdentifierTypeStateIssuer
94860OtherFLBLUE CROSS GRP

Other names 1

  • Gulf Coast Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

2216 US Highway 19
Holiday, FL 34691
Phone (727) 937-6428

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285757369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346914351",
            "telephone_number": "727-943-0300",
            "fax_number": "727-943-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346914351",
            "telephone_number": "727-943-0300",
            "fax_number": "727-943-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO ALTERNATIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAMON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "727-973-0300"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP",
            "identifier": "94860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.