Active NPI
Scow of Florida, LLC
- Chiropractor
- Saint Petersburg, FL
National Provider Identifier
1740438449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8283
- Legal business name
- SCOW OF FLORIDA, LLC
- Practice address
- 3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340 - Phone
- (727) 381-7433
- NPI assigned
- Sep 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Wyckoff, D.C.
- Title
- Owner
- Phone
- (727) 381-7433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8283 | FL | Primary |
Addresses
Primary practice location
3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340
Mailing address
3348 Tyrone Blvd N
Saint Petersburg, FL 33710-2340
Phone (727) 381-7433
Other names 1
- Vitality Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- St Petersburg, FL
- NPI 1912905662
-
- Chiropractor
- St Petersburg, FL
- NPI 1154713311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1740438449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3348 TYRONE BLVD N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337102340",
"telephone_number": "727-381-7433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3348 TYRONE BLVD N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337102340",
"telephone_number": "727-381-7433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOW OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "WYCKOFF",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-381-7433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vitality Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.