Active NPI
Chiro-Medical of South Orlando, Inc
- Chiropractor
- Orlando, FL
National Provider Identifier
1891027595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5659
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5659 | FL | Primary |
| Chiropractor | 111N00000X | CH8212 | FL | |
| Chiropractor | 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 DirectoryLocations
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.