Organization Active NPI

Metamorphosize Chiropractic

Doing business as South Florida Therapy and Wellness

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1639477813
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6404 Issued in FL
Legal business name
METAMORPHOSIZE CHIROPRACTIC
Doing business as
South Florida Therapy and Wellness
Practice address
919 E Cypress Creek Rd
Ft Lauderdale, FL 33334-4116
Phone
(954) 605-2737
Fax
(954) 349-8672
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mrs. Lisa A Donner, D.C
Title
President
Phone
(954) 605-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6404 FL Primary

Addresses

Primary practice location

919 E Cypress Creek Rd
Ft Lauderdale, FL 33334-4116

Mailing address

919 E Cypress Creek Rd
Ft Lauderdale, FL 33334-4116
Phone (954) 605-2737

Other names 1

  • SOUTH FLORIDA THERAPY AND WELLNESS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1639477813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 E CYPRESS CREEK RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344116",
            "telephone_number": "954-605-2737",
            "fax_number": "954-349-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E CYPRESS CREEK RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344116",
            "telephone_number": "954-605-2737",
            "fax_number": "954-349-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIZE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "DONNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-605-2737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH FLORIDA THERAPY AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.