Santa Rosa Wellness Spa, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 8469 Issued in FL

Legal business name

SANTA ROSA WELLNESS SPA, P.A.

Doing business as

West Florida Back & Neck

Practice address

12671 US Highway 98 W
Suite 211
Miramar Beach, FL 32550-8300

Phone

(850) 654-6505

Fax

(850) 654-6505

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dana A Berthiaume, D.C.NPI 1679606297

Title

Regional Director

Phone

(850) 654-6505

Specialties & licenses 1

Addresses

Other names 1

• West Florida Back & Neck Doing business as

Locations

Practitioners 2

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

• Dana A Berthiaume, D.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1679606297
  NPD (past) Authorized official
• Peter A Smith, D.C

  • Chiropractor
  • Pensacola, FL
  • NPI 1003913161
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1437340585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12671 US HIGHWAY 98 W",
            "address_2": "SUITE 211",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508300",
            "telephone_number": "850-654-6505",
            "fax_number": "850-654-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12671 US HIGHWAY 98 W",
            "address_2": "SUITE 211",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508300",
            "telephone_number": "850-654-6505",
            "fax_number": "850-654-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA WELLNESS SPA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "BERTHIAUME",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "850-654-6505",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Florida Back & Neck",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Miguel Enrique Santana Herrera, MD
• Julie M Sayers, P.A.-C
• Megan Ann Schenck
• Amanda Scheppe
• Eric Mahlon-Paul Scheufler, D.M.D, M.D. P.A.

• Chiropractor in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.