Chiropracticusa of Leesburg, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5257 Issued in FL

Legal business name

CHIROPRACTICUSA OF LEESBURG, INC

Practice address

945 N 14TH St
Leesburg, FL 34748-3838

Phone

(954) 581-1999

Fax

(954) 581-3970

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Renny Mitchell Edelson, D.C.

Title

Chiropractor/Owner

Phone

(954) 581-1999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1649558297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-581-1999",
            "fax_number": "954-581-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 14TH ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483838",
            "telephone_number": "954-581-1999",
            "fax_number": "954-581-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTICUSA OF LEESBURG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "RENNY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "954-581-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace A Chapuseaux, A.R.N.P.
• Shelby J Chavis, MA
• Rafael A Cheas, MD
• Christopher Allen Cherry, LMT
• Alycia Ann Chiaramonti, O.D.
• Mohammed Afzal Choudhry, MD
• Gary Marvin Christensen, DDS
• Christopher T Soprenuk MD PA
• Kevin E Chun, M.D.
• Kristin Leah Churchill, LMT

• Chiropractor in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.