Choose Life Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10261 Issued in FL

Legal business name

CHOOSE LIFE WELLNESS CENTER, LLC

Practice address

15740 Johns Lake Rd
Clermont, FL 34711-7606

Phone

(321) 303-8853

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie MirandaNPI 1730479791

Title

Owner

Phone

(321) 303-8853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Julie Ann Miranda, D.C.

  • Chiropractor
  • Clermont, FL
  • NPI 1730479791
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1881977841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15740 JOHNS LAKE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 JOHNS LAKE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117606",
            "telephone_number": "321-303-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSE LIFE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-303-8853",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel C Chin, PA
• Lisanne Marie Chiota, FNP
• Jessica Chiozzo
• Choice Meds USA, Inc. (Remote Dispensing Location of Choice Meds USA)
• Shobashalini Chokkalingam, MD
• Courtney Darcey Chrisler, MD
• Holly Jean Christian Gibbons, MA, LMHC
• Cara Christian
• Christina Caldwell PSYD PA
• Tisha Christopher, PHD

• Chiropractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.