Walters Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11395 Issued in FL

Legal business name

WALTERS CHIROPRACTIC LLC

Practice address

1482 3Rd St S
Jacksonville Beach, FL 32250-6310

Phone

(904) 246-3232

Fax

(904) 246-3626

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Walters, D.C.

Title

Doctor of Chiropractic

Phone

(904) 887-4708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1881085330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671747",
            "telephone_number": "904-887-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506310",
            "telephone_number": "904-246-3232",
            "fax_number": "904-246-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "904-887-4708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Waters, RN, CCRN
• Spencer Watson, PHARMD
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• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.