Organization Active NPI

Miracle Chiropractic Clinic

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1518186592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2148 Issued in FL
Legal business name
MIRACLE CHIROPRACTIC CLINIC
Practice address
6500 W Colonial Dr Ste D
Orlando, FL 32818-7807
Phone
(407) 296-4848
Fax
(407) 296-4846
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myrleine P Brignole, C.C.P.A.
Title
Office Manger
Phone
(407) 296-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2148 FL Primary

Addresses

Primary practice location

6500 W Colonial Dr Ste D
Orlando, FL 32818-7807

Mailing address

6500 W Colonial Dr Ste D
Orlando, FL 32818-7807
Phone (407) 296-4848

National Provider Directory

National Provider Directory

Locations

6500 W Colonial Dr
Ste D
Orlando, FL 32818
Phone (407) 296-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518186592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W COLONIAL DR STE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328187807",
            "telephone_number": "407-296-4848",
            "fax_number": "407-296-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W COLONIAL DR STE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328187807",
            "telephone_number": "407-296-4848",
            "fax_number": "407-296-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIGNOLE",
        "authorized_official_first_name": "MYRLEINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "407-296-4848",
        "authorized_official_credential": "C.C.P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.