Mauricio Chiropractic Melbourne LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAURICIO CHIROPRACTIC MELBOURNE LLC

Practice address

187 S Wickham Rd Ste 101
Melbourne, FL 32904-1123

Phone

(321) 372-5033

Fax

(321) 372-5034

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Richard S Bird, D.C.

Title

Owner

Phone

(407) 381-0878

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1376056291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12278 E COLONIAL DR STE 600H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264724",
            "telephone_number": "407-381-0878",
            "fax_number": "407-373-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041123",
            "telephone_number": "321-372-5033",
            "fax_number": "321-372-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICIO CHIROPRACTIC MELBOURNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-381-0878",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Tavy Matthews
• Alison Matthiesen-Wahlstedt, LMT
• Amanda Catherine Mattick, MA, LMHC, CAP
• Audrey I Matty, SLP
• F Matuk, M.D.P.A.
• Lisa Mauro, MT-BC
• Maxim Healthcare Services, Inc.
• Olivia May, RBT
• Margaret A Mayer, ARNP
• Rebecca Ruth Mayes, M.S.,CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.