Organization Active NPI

Jacksonville Injury Treatment Center LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1508035668
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7715 Issued in FL
Legal business name
JACKSONVILLE INJURY TREATMENT CENTER LLC
Practice address
8384 Baymeadows Rd
Suite 3
Jacksonville, FL 32256-4412
Phone
(904) 731-3370
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Robert Ray Sitner
Title
MGR
Phone
(561) 495-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7715 FL Primary

Addresses

Primary practice location

8384 Baymeadows Rd
Suite 3
Jacksonville, FL 32256-4412

Mailing address

4731 W Atlantic Ave
Suite B 21
Delray Beach, FL 33445-3897

National Provider Directory

National Provider Directory

Locations

4731 W Atlantic Ave
Ste 21
Delray Beach, FL 33445

8384 Baymeadows Rd
Ste 3
Jacksonville, FL 32256
Phone (904) 731-3370

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1508035668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE",
            "address_2": "SUITE B 21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8384 BAYMEADOWS RD",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564412",
            "telephone_number": "904-731-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE INJURY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SITNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-495-1212"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.