Organization Active NPI

Mua Associates, L.L.C.

Doing business as Pain Management and Multi-Specialty Group of the Treasure Coast

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1881848190
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8935 Issued in FL
Legal business name
MUA ASSOCIATES, L.L.C.
Doing business as
Pain Management and Multi-Specialty Group of the Treasure Coast
Practice address
800 Virginia Ave
Suite 54
Fort Pierce, FL 34982-5829
Phone
(772) 466-9820
Fax
(772) 466-9475
NPI assigned
Nov 13, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Dr. Kenneth Gilmore, D.C.
Title
President
Phone
(772) 466-9820

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8935 FL Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X ME88243 FL

Addresses

Primary practice location

800 Virginia Ave
Suite 54
Fort Pierce, FL 34982-5829

Mailing address

800 Virginia Ave
Suite 54
Fort Pierce, FL 34982-5829
Phone (772) 466-9820

Other identifiers 2

IdentifierTypeStateIssuer
1174514376OtherNPI
1255494704OtherNPI

Other names 1

  • Pain Management and Multi-Specialty Group of the Treasure Coast Doing business as

National Provider Directory

National Provider Directory

Locations

800 Virginia Ave
Ste 54
Fort Pierce, FL 34982
Phone (772) 466-9820

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1881848190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "SUITE 54",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825829",
            "telephone_number": "772-466-9820",
            "fax_number": "772-466-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "SUITE 54",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825829",
            "telephone_number": "772-466-9820",
            "fax_number": "772-466-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUA ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-466-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8935",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME88243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174514376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255494704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management and Multi-Specialty Group of the Treasure Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.