Citrus Regional Clinic of Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8687 Issued in FL

Legal business name

CITRUS REGIONAL CLINIC OF CHIROPRACTIC, PA

Practice address

108 W Highland Blvd
Inverness, FL 34452-4819

Phone

(352) 344-1300

Fax

(352) 341-4500

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Fowler, D.C.NPI 1144333931

Title

President

Phone

(352) 344-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Jeffrey Adam Fowler, DC

  • Chiropractor
  • Inverness, FL
  • NPI 1144333931
  Medicare reassignment Care Compare group NPD Authorized official
• Jill Irene Smith, D.C.

  • Chiropractor
  • Inverness, FL
  • NPI 1063896884
  Medicare reassignment Care Compare group NPD
• David Bryan Raynor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Inverness, FL
  • NPI 1265597629
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1407154875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524819",
            "telephone_number": "352-344-1300",
            "fax_number": "352-341-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524819",
            "telephone_number": "352-344-1300",
            "fax_number": "352-341-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS REGIONAL CLINIC OF CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-344-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Memorial Health Foundation Inc
• Citrus Memorial Hospital, Inc.
• Citrus Memorial Hospital, Inc.
• Citrus Nursing Center LLC
• Citrus Preferred Clinic,LLC
• Citrus School District
• Citrus School District
• Citrus School District
• Citrus School District
• Citrus School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.