Paul Philip Farruggio, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

X011687 Issued in FL

Practice address

2137 S Ridgewood Ave
South Daytona, FL 32119-3015

Phone

(386) 275-1956

Fax

(386) 275-1956

NPI assigned

Dec 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1841621208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 OAK MEADOW CIR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198822",
            "telephone_number": "917-797-0960",
            "fax_number": "386-275-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193015",
            "telephone_number": "386-275-1956",
            "fax_number": "386-275-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRUGGIO",
        "first_name": "PAUL",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "X011687",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "X011687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Eyerly, DC
• Fagan Associates, Inc
• Charna Fagan, MA COUNSELING
• Mary L Fagaragan
• Family Care Physicans, LLP
• Crystal Crickette Fedele, AP
• Elizabeth Ann Ferguson, L.C.S.W.
• Michael Ficarra
• Paige Fisher
• Fleta Medical Care Center, LLC

• Nutrition Chiropractor in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.