Active NPI
South Lake Chiropractic PA
- Chiropractor
- Clermont, FL
National Provider Identifier
1679725527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004040
- Legal business name
- SOUTH LAKE CHIROPRACTIC PA
- Practice address
- 255 W Highway 50
Clermont, FL 34711-3027 - Phone
- (352) 394-4615
- NPI assigned
- Oct 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Floyd
- Title
- Office Manager
- Phone
- (352) 394-4615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004040 | FL | Primary |
Addresses
Primary practice location
255 W Highway 50
Clermont, FL 34711-3027
Mailing address
255 W Highway 50
Clermont, FL 34711-3027
Phone (352) 394-4615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236902400000",
"number": "1679725527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W HIGHWAY 50",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113027",
"telephone_number": "352-394-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W HIGHWAY 50",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113027",
"telephone_number": "352-394-4615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH LAKE CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-22",
"last_updated": "2009-03-13",
"status": "A",
"authorized_official_last_name": "FLOYD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-394-4615"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.