Swan City Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SWAN CITY CHIROPRACTIC CORPORATION

Practice address

3242 S Florida Ave
Lakeland, FL 33803-4574

Phone

(863) 682-4182

Fax

(863) 644-4992

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Nathaniel James Bretz, DC

Title

Registered Agent

Phone

(256) 529-8940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1598455727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 CARLETON CIR E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034546",
            "telephone_number": "256-529-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-682-4182",
            "fax_number": "863-644-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN CITY CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "256-529-8940",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sutherland, M.S.
• Kelly Sutton, L.M.T.
• Robert Sutton, DMD
• Suzanne Lavelle LLC
• Mohamed Swalih
• Swan City Eye Care
• Swan City Music Therapy, LLC
• Swan City Psychology P.a.
• Swan City Wellness LLC
• Swan Oral & Facial Surgery, LLC

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.