Chiros Winter Haven LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROS WINTER HAVEN LLC

Doing business as

Full Life Chiropractic

Practice address

301 3Rd St NW Ste 204
Winter Haven, FL 33881-4094

Phone

(863) 268-6552

NPI assigned

May 9, 2024

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CHIROS ON 54 LLCAs reported in NPPES

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

Authorized official

Name

Dr. Enrico Dolcecore, DCNPI 1912429648

Title

Owner

Phone

(813) 428-5648

Specialties & licenses 1

Addresses

Other names 1

• Full Life Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Chiros Winter Haven LLC2 organizations share this tax ID, including this one

Part of

Chiros on 54 LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chiros Winter Haven LLC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1093554578
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Chiros on 54 LLC

  dba Full Life Chiropractic

  • Chiropractor
  • Lutz, FL
  • NPI 1205337821
  NPPES parent name

Practitioners 3

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.

• Enrico A Dolcecore, DC

  • Chiropractor
  • Lutz, FL
  • NPI 1912429648
  Medicare reassignment NPD Authorized official
• Alicia Jasmine Jones, DC, BS, LMT

  • Chiropractor
  • Clermont, FL
  • NPI 1861250185
  Medicare reassignment Care Compare group NPD
• Alexis Kathryn Winters, DC

  • Chiropractor
  • Lutz, FL
  • NPI 1144985656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1801644323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21754 STATE ROAD 54 STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496901",
            "telephone_number": "813-428-5648",
            "fax_number": "813-501-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 3RD ST NW STE 204",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814094",
            "telephone_number": "863-268-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROS WINTER HAVEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIROS ON 54 LLC",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "DOLCECORE",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-428-5648",
        "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": [
        {
            "organization_name": "Full Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.

Verify at the official NPI Registry.