Organization Active NPI

Lakeland Sports Performance Inc

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1609959600
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8827 Issued in FL
Legal business name
LAKELAND SPORTS PERFORMANCE INC
Practice address
5151 S Lakeland Dr
Suite 6
Lakeland, FL 33813-2518
Phone
(863) 646-3388
Fax
(863) 646-3380
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Joseph Allen Zamzow, D.C.NPI 1386720498
Title
Coo
Phone
(863) 646-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8827 FL Primary

Addresses

Primary practice location

5151 S Lakeland Dr
Suite 6
Lakeland, FL 33813-2518

Mailing address

5151 S Lakeland Dr
Suite 6
Lakeland, FL 33813-2518
Phone (863) 646-3388

Other names 1

  • Velocity Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000354 FL Part B Supplier - Clinic/Group Practice 6204921620 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeland, FL; Tampa, FL; Lake Mary, FL

National Provider Directory

National Provider Directory

Locations

135 Middle St
Ste 1011
Lake Mary, FL 32746
Phone (863) 646-3388

6030 S Florida Ave
Ste 115
Lakeland, FL 33813
Phone (863) 646-3388

3709 W McKay Ave
Tampa, FL 33609
Phone (813) 644-4204

Practitioners & affiliated clinicians

Practitioners 2

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1609959600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S LAKELAND DR",
            "address_2": "SUITE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132518",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 S LAKELAND DR",
            "address_2": "SUITE 6",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132518",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND SPORTS PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "ZAMZOW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "863-646-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velocity Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.