Lake County Spine and Injury

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE COUNTY SPINE AND INJURY

Practice address

128 N Eustis St Ste 101
Eustis, FL 32726-3400

Phone

(352) 977-4824

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Ivi Bifsha

Title

Owner

Phone

(352) 977-4824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1699532671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N EUSTIS ST STE 101",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263400",
            "telephone_number": "352-977-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N EUSTIS ST STE 101",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263400",
            "telephone_number": "352-977-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY SPINE AND INJURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BIFSHA",
        "authorized_official_first_name": "IVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-977-4824"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyr Tender Care LLC
• Christina Victoria Tokics Lacek, PT, DPT
• Tanya Jean Lafrinere
• Marie Laguerre Small, SLPA
• Lake County Primary Medical Care LLC
• Lake Eustis Operating Investments LLC
• Lake Foot Clinic Inc
• Lake Health Care Center Inc
• Lake Internal Medicine Associates
• Lake Respiratory Services, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.