Organization Active NPI

Superior Injury Care, Inc.

  • Rehabilitation Chiropractor
  • Tampa, FL
National Provider Identifier
1609103225
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SUPERIOR INJURY CARE, INC.
Practice address
1412 W Waters Ave Suite 204
Tampa, FL 33604
Phone
(813) 935-8784
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Eugenio Carcasses
Title
Office Manger
Phone
(813) 935-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

1412 W Waters Ave Suite 204
Tampa, FL 33604

Mailing address

1412 W Waters Ave Suite 204
Tampa, FL 33604

National Provider Directory

National Provider Directory

Locations

1412 W Waters Ave
Ste 204
Tampa, FL 33604
Phone (813) 443-8342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1609103225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE SUITE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33604",
            "telephone_number": "813-935-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR INJURY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "CARCASSES",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "813-935-8784"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.