Fort Caroline Clinic of Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORT CAROLINE CLINIC OF CHIROPRACTIC

Practice address

12086 Fort Caroline Rd Ste 302
Jacksonville, FL 32225-7639

Phone

(904) 902-4325

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy E Brubaker, DCNPI 1891832812

Title

Member

Phone

(904) 419-8898

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy E Brubaker, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1891832812
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1710648746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14097 PINE ISLAND DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243110",
            "telephone_number": "814-590-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257639",
            "telephone_number": "904-902-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT CAROLINE CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "904-419-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Forshey Friedman, ARNP
• John G. Forster, MD
• Rebecca Forster, APRN
• Robert J Forster, MD
• Fort Caroline Clinic of Chiropractic
• Fort Caroline Gardens
• Johnnethel M Fort, OTR/L
• Kathleen Frank Fort, APRN
• Peter Anthony Fort, D.C
• Adria Pratt Forte, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.