Holistic Institute of So. FL, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH1502 Issued in FL

Legal business name

HOLISTIC INSTITUTE OF SO. FL, INC

Practice address

2480 So. Congress Ave
Suite a-2
West Palm Beach, FL 33406-7615

Phone

(561) 641-7997

Fax

(561) 641-2461

NPI assigned

Mar 28, 2012

Last updated

Mar 28, 2012By 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

Mr. Jerry Allen Tankersley, D.C.

Title

Pres

Phone

(561) 641-7997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1356617955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 SO. CONGRESS AVE.",
            "address_2": "SUITE A-2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067615",
            "telephone_number": "561-641-7997",
            "fax_number": "561-641-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SO. CONGRESS AVE",
            "address_2": "SUITE A-2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067615",
            "telephone_number": "561-641-7997",
            "fax_number": "561-641-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC INSTITUTE OF SO. FL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-641-7997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy #05140)
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• Holiday CVS, L.L.C. (CVS Pharmacy # 03226)
• Holistic Care for Recovery LLC
• Holistic Care Solutions
• Holistic Internal Medicine of the Palm Beaches
• Dana Collier Holl, M.D.
• Hannah Holland-Woodall
• David Thorne Holland, DDS
• Alexandra Hollenbeck

• Chiropractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.