Elevation Health Lake Mary,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7458 Issued in FL

Legal business name

ELEVATION HEALTH LAKE MARY,LLC

Practice address

3621 Lake Emma Rd # 121
Lake Mary, FL 32746-6199

Phone

(407) 333-2277

NPI assigned

May 5, 2013

Organization subpart

Yes

Parent organization

HEXAGON HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Mike Rollins

Title

Coo

Phone

(305) 710-4868

Specialties & licenses 1

Addresses

Part of

Hexagon Health LLC

Locations

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

{
    "created_epoch": "1367712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367712000000",
    "number": "1639514607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7948 DAVIS BLVD STE 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761826954",
            "telephone_number": "817-697-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 LAKE EMMA RD # 121",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466199",
            "telephone_number": "407-333-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION HEALTH LAKE MARY,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEXAGON HEALTH, LLC",
        "enumeration_date": "2013-05-05",
        "last_updated": "2013-05-05",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-710-4868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.