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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8935
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8935 | FL | Primary |
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174514376 | Other | NPI | |
| 1255494704 | Other | NPI |
Other names 1
- Pain Management and Multi-Specialty Group of the Treasure Coast
National Provider Directory
National Provider DirectoryLocations
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.