Center of Functional Medicine,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTER OF FUNCTIONAL MEDICINE,LLC

Practice address

255 W Hwy 50
Clermont, FL 34711-3027

Phone

(352) 394-4615

Fax

(352) 394-7400

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Jennie Hoff

Title

Offfice/Billing Manager

Phone

(312) 303-7433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699299966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113027",
            "telephone_number": "352-394-4615",
            "fax_number": "352-394-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113027",
            "telephone_number": "352-394-4615",
            "fax_number": "352-394-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF FUNCTIONAL MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OFFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "312-303-7433"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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