Chiromedic Family Practice of Kendall

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9004 Issued in FL

Legal business name

CHIROMEDIC FAMILY PRACTICE OF KENDALL

Practice address

12060 SW 129TH CT Ste 102
Miami, FL 33186-4582

Phone

(786) 429-1937

Fax

(786) 429-3274

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Paul L Guadagno, DC

Title

Administrator

Phone

(786) 429-1937

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1649798224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 SW 72ND ST STE 203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435000",
            "telephone_number": "17863529327",
            "fax_number": "305-971-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 SW 129TH CT STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864582",
            "telephone_number": "786-429-1937",
            "fax_number": "786-429-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROMEDIC FAMILY PRACTICE OF KENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "GUADAGNO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-429-1937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Miami, FL
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• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.