Pura Vida Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PURA VIDA CHIROPRACTIC LLC

Practice address

3959 S Nova Rd Ste 9
Port Orange, FL 32127-4900

Phone

(727) 220-6778

Fax

(386) 761-2522

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Nicolle Jean Schultze, DC

Title

Owner

Phone

(727) 220-6778

Specialties & licenses 1

Addresses

Other names 1

• Pura Vida Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1700359759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 9",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274900",
            "telephone_number": "727-220-6778",
            "fax_number": "386-761-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 9",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274900",
            "telephone_number": "727-220-6778",
            "fax_number": "386-761-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURA VIDA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "SCHULTZE",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-220-6778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pura Vida Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.