Jacksonville Chiropractic Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSONVILLE CHIROPRACTIC CENTER INC.

Practice address

773 S Kirkman Rd
Suite 120
Orlando, FL 32811-2013

Phone

(407) 298-7880

Fax

(407) 298-7882

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Fritz Siede

Title

President

Phone

(321) 662-4347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1689860744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 S KIRKMAN RD",
            "address_2": "SUITE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112013",
            "telephone_number": "407-298-7880",
            "fax_number": "407-298-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 S KIRKMAN RD",
            "address_2": "SUITE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112013",
            "telephone_number": "407-298-7880",
            "fax_number": "407-298-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SIEDE",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-662-4347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talesha Michell Jackson, APRN
• Teri Lynn Jackson, ARNP
• Thomas Joseph Jackson, CRNA
• Tyler Jackson, IMT4395
• Zyyunna Jackson
• Felicia Jacob, M.D
• Hannah Jacob, MD
• Jessica Jacob, OD
• Leah Jacob
• Fredesvinda Jacobs-Alvarez, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.