S & B Chiropractic and Rehab, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CH10085 Issued in FL

Legal business name

S & B CHIROPRACTIC AND REHAB, INC.

Practice address

14523 Bruce B Downs Blvd
Ste 405
Tampa, FL 33613-6501

Phone

(813) 359-9049

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Brittin Beaulieu

Title

President

Phone

(727) 272-0501

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1770028474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48558",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460122",
            "telephone_number": "813-359-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14523 BRUCE B DOWNS BLVD",
            "address_2": "STE 405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336136501",
            "telephone_number": "813-359-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & B CHIROPRACTIC AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "BRITTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-272-0501"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH10085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200843480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Tampa, FL
• Providers in Tampa, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.