The Vine Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11116 Issued in FL

Legal business name

THE VINE CHIROPRACTIC LLC

Practice address

80 N Main St
Labelle, FL 33935-5095

Phone

(863) 675-0421

Fax

(863) 342-8149

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Michael Parrish, D.C.

Title

Member

Phone

(863) 517-2904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1346669553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339355095",
            "telephone_number": "863-675-0421",
            "fax_number": "863-342-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339355095",
            "telephone_number": "863-675-0421",
            "fax_number": "863-342-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "863-517-2904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Labelle, FL
• Providers in Labelle, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.