Organization Active NPI

North Florida Spine and Rehab Centers

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1639428279
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8780 Issued in FL
Legal business name
NORTH FLORIDA SPINE AND REHAB CENTERS
Practice address
4000 Saint Johns Ave Ste 35
Jacksonville, FL 32205-9352
Phone
(904) 236-4619
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

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

Authorized official

Name
Antonio Alvarez, D.C.
Title
Managing Partner
Phone
(954) 383-9681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8780 FL Primary

Addresses

Primary practice location

4000 Saint Johns Ave Ste 35
Jacksonville, FL 32205-9352

Mailing address

12525 Orange Park Dr Ste 712
Davie, FL 33330

National Provider Directory

National Provider Directory

Locations

12525 Orange Dr
Ste 712
Davie, FL 33330

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1639428279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 ORANGE PARK DR STE 712",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAINT JOHNS AVE STE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059352",
            "telephone_number": "904-236-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA SPINE AND REHAB CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "954-383-9681",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.