Organization Active NPI

Vital Chiropractic Wellness Center PA

  • Chiropractor
  • Palm City, FL
National Provider Identifier
1588846505
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8946 Issued in FL
Legal business name
VITAL CHIROPRACTIC WELLNESS CENTER PA
Practice address
3543 SW Corporate Pkwy
Palm City, FL 34990-8151
Phone
(772) 232-4091
Fax
(772) 232-4092
NPI assigned
Nov 30, 2007
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Dr. Daniel A. Rukeyser, D.C.NPI 1043341084
Title
President
Phone
(772) 232-4091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8946 FL Primary

Addresses

Primary practice location

3543 SW Corporate Pkwy
Palm City, FL 34990-8151

Mailing address

PO Box 357
Palm City, FL 34991-0357
Phone (772) 232-4091

National Provider Directory

National Provider Directory

Locations

4828 S Federal Hwy
Fort Pierce, FL 34982
Phone (772) 882-9788

886 NE Jensen Beach Blvd
Jensen Beach, FL 34957

1611 NW Federal Hwy
Stuart, FL 34994
Phone (772) 232-4091

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1588846505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349910357",
            "telephone_number": "772-232-4091",
            "fax_number": "772-232-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908151",
            "telephone_number": "772-232-4091",
            "fax_number": "772-232-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CHIROPRACTIC WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "RUKEYSER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-232-4091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.