Organization Active NPI

Telos Health and Performance

  • Neurology Chiropractor
  • Orlando, FL
National Provider Identifier
1679299028
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
TELOS HEALTH AND PERFORMANCE
Practice address
3154 S Orange Ave Ste 200
Orlando, FL 32806-6122
Phone
(321) 300-3113
NPI assigned
Oct 18, 2022
Organization subpart
Yes
Parent organization
TELOS HEALTH AND PERFORMANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Dr. Manuel Soto-Garcia, DC
Title
Owner
Phone
(817) 706-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X Primary

Addresses

Primary practice location

3154 S Orange Ave Ste 200
Orlando, FL 32806-6122

Mailing address

420 E Church St Unit 614
Orlando, FL 32801-2789
Phone (817) 706-1194

Other names 1

  • Orlando Chiropractic Neurology Center Doing business as

National Provider Directory

National Provider Directory
Part of
Telos Health and Performance

Locations

3154 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (321) 300-3113

3150 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (321) 300-3113

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1679299028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E CHURCH ST UNIT 614",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012789",
            "telephone_number": "817-706-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 S ORANGE AVE STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066122",
            "telephone_number": "321-300-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELOS HEALTH AND PERFORMANCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELOS HEALTH AND PERFORMANCE",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "SOTO-GARCIA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-706-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Chiropractic Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.