Organization Active NPI

Sunshine State Chiropractic LLC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1669976171
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11730 Issued in FL
Legal business name
SUNSHINE STATE CHIROPRACTIC LLC
Practice address
2953 Duff Rd
Lakeland, FL 33810-2188
Phone
(863) 248-6900
Fax
(863) 248-6900
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Dr. Julie Anna Bohlen, DC
Title
Doctor of Chiropractic/Owner
Phone
(863) 248-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11730 FL Primary

Addresses

Primary practice location

2953 Duff Rd
Lakeland, FL 33810-2188

Mailing address

2953 Duff Rd
Lakeland, FL 33810-2188
Phone (863) 248-6900

National Provider Directory

National Provider Directory

Locations

2953 Duff Rd
Lakeland, FL 33810
Phone (863) 248-6900

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1669976171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 DUFF RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102188",
            "telephone_number": "863-248-6900",
            "fax_number": "863-248-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 DUFF RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102188",
            "telephone_number": "863-248-6900",
            "fax_number": "863-248-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "BOHLEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "863-248-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.