Perdue Chiropractic Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PERDUE CHIROPRACTIC CENTER, P.A.

Practice address

1051 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905-5153

Phone

(321) 984-5355

Fax

(321) 984-7206

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Reginald Perdue, D.C.NPI 1427144930

Title

Owner

Phone

(321) 984-5355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Perdue Chiropractic Center, LLC

  • Chiropractor
  • Palm Bay, FL
  • NPI 1164782553

  O20110312000038

  Same enrollment

Practitioners 1

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

• Lawrence Reginald Perdue, DC

  • Chiropractor
  • Palm Bay, FL
  • NPI 1427144930
  NPD (past) Authorized official

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1295032654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-984-5355",
            "fax_number": "321-984-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-984-5355",
            "fax_number": "321-984-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDUE CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-984-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PD & Sr, L.L.C.
• Jefferson Michael Pecora, DMD
• Sharon F. Pell, LCSW
• Beatriz Peraza, M.S
• Perdue Chiropractic Center, LLC
• Lawrence Reginald Perdue, DC
• Ruby Perez Gonzalez
• Patricia Perez Hernandez
• Kristy Lee Perkins, BCBA
• Marissa Marie Peters

• Chiropractor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.