Organization Active NPI

Gainesville Med Spa P.a.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1720185861
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 7319 Issued in FL
Legal business name
GAINESVILLE MED SPA P.A.
Practice address
4061 NW 43Rd St
Suite 16
Gainesville, FL 32606-2513
Phone
(352) 374-0909
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Francis Byrne Jr., D.O.M.NPI 1023282936
Title
President
Phone
(352) 374-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 7319 FL Primary

Addresses

Primary practice location

4061 NW 43Rd St
Suite 16
Gainesville, FL 32606-2513

Mailing address

4715 NW 31St Ave
Gainesville, FL 32606-6034
Phone (352) 374-0909

National Provider Directory

National Provider Directory

Locations

4061 NW 43rd St
Ste 16
Gainesville, FL 32606
Phone (352) 374-0909

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720185861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 NW 31ST AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066034",
            "telephone_number": "352-374-0909",
            "fax_number": "352-505-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 NW 43RD ST",
            "address_2": "SUITE 16",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062513",
            "telephone_number": "352-374-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE MED SPA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-374-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.