Mathesie Chiropractic Life Center, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

MATHESIE CHIROPRACTIC LIFE CENTER, INC

Practice address

10617 W Atlantic Blvd
Coral Springs, FL 33071-5610

Phone

(954) 755-1434

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Michael W Mathesie, D.C.

Title

Bod

Phone

(954) 755-1434

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1558520585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715610",
            "telephone_number": "954-755-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715610",
            "telephone_number": "954-755-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHESIE CHIROPRACTIC LIFE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "MATHESIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BOD",
        "authorized_official_telephone_number": "954-755-1434",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Zane Masel, MD
• Crystal Rose Mason, PHARMD
• Massive Marketing Group II LLC
• Masson Medical Specialist Corporation
• Raquel Mata, LMT
• Michael W Mathesie, DC
• Jibi Mathew, NP
• Nikita Mathew
• Marlyse T Mathurin
• Gary Matloff, PH.D.

• Sports Physician Chiropractor in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.