Organization Active NPI

Chiro-Medical of South Orlando, Inc

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1891027595
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5659 Issued in FL
Legal business name
CHIRO-MEDICAL OF SOUTH ORLANDO, INC
Practice address
5533 S Orange Ave
Orlando, FL 32809-3492
Phone
(561) 367-1333
Fax
(561) 367-1320
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Sal James Pellegrino, D.C.
Title
President/Doctor
Phone
(561) 367-1333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH5659 FL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH8212 FL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH4734 FL

Addresses

Primary practice location

5533 S Orange Ave
Orlando, FL 32809-3492

Mailing address

731 NE 32ND St
Boca Raton, FL 33431-6918
Phone (561) 367-1344

National Provider Directory

National Provider Directory

Locations

5533 S Orange Ave
Orlando, FL 32809
Phone (407) 616-7921

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1891027595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE 32ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316918",
            "telephone_number": "561-367-1344",
            "fax_number": "561-367-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093492",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MEDICAL OF SOUTH ORLANDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "561-367-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5659",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8212",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.