Organization Active NPI

Advance Chiropractic Adjustment

  • Chiropractor
  • Haines City, FL
National Provider Identifier
1619157476
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HCC7872 Issued in FL
Legal business name
ADVANCE CHIROPRACTIC ADJUSTMENT
Practice address
280 Patterson Rd
Suite #2
Haines City, FL 33844-6261
Phone
(863) 421-8687
Fax
(863) 421-8670
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Ms. Rose Marlene Lubin
Title
Owner
Phone
(863) 421-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X HCC7872 FL Primary

Addresses

Primary practice location

280 Patterson Rd
Suite #2
Haines City, FL 33844-6261

Mailing address

280 Patterson Rd
Suite #2
Haines City, FL 33844-6261
Phone (863) 421-8687

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1619157476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD",
            "address_2": "SUITE #2",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "863-421-8687",
            "fax_number": "863-421-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD",
            "address_2": "SUITE #2",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "863-421-8687",
            "fax_number": "863-421-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC ADJUSTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-421-8687",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC7872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.