Organization Active NPI

Atlas Chiropractic & Wellness PL

Doing business as Chiropractic Discovery & Wellness

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1790956373
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9350 Issued in FL
Legal business name
ATLAS CHIROPRACTIC & WELLNESS PL
Doing business as
Chiropractic Discovery & Wellness
Practice address
11512 Lake Mead Ave Unit 203
Jacksonville, FL 32256-9688
Phone
(904) 885-2697
Fax
(904) 212-1612
NPI assigned
Mar 21, 2008
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Jeanie Rae Francise Froman-Bohall, D.C.
Title
Owner
Phone
(904) 885-2697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9350 FL Primary

Addresses

Primary practice location

11512 Lake Mead Ave Unit 203
Jacksonville, FL 32256-9688

Mailing address

11512 Lake Mead Ave Unit 203
Jacksonville, FL 32256-9688
Phone (904) 885-2697

Other names 1

  • Chiropractic Discovery & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

10175 Fortune Pkwy
Unit 1101
Jacksonville, FL 32256
Phone (904) 738-8189

11512 Lake Mead Ave
Unit 203
Jacksonville, FL 32256
Phone (904) 565-1116

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1790956373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569688",
            "telephone_number": "904-885-2697",
            "fax_number": "904-212-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11512 LAKE MEAD AVE UNIT 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569688",
            "telephone_number": "904-885-2697",
            "fax_number": "904-212-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC & WELLNESS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "FROMAN-BOHALL",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_middle_name": "RAE FRANCISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-885-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Discovery & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.