Chiropractic Life Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROPRACTIC LIFE CENTER, P.A.

Practice address

3427 Mariner Blvd
Spring Hill, FL 34609-2463

Phone

(352) 686-2554

Fax

(352) 686-3302

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles R. Glenn, D.C.

Title

Owner/Physician

Phone

(352) 686-2554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1508234345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092463",
            "telephone_number": "352-686-2554",
            "fax_number": "352-686-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092463",
            "telephone_number": "352-686-2554",
            "fax_number": "352-686-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "352-686-2554",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Melanny Chaves
• Jill Alyse Chazan, PHARM D.
• Omar Chehab, PHARM.D
• Barbara J Chiarello
• Guido Chiarello, CPR/FIRST AIDE/ETC.
• Leslie Lee Chisholm IV, DC
• Amal Georges Chleil
• Richard Otis Chlouber, MD
• Jay A Chokshi, DMD
• Andre Christensen, DDS

• Chiropractor in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.