Organization Active NPI

Havendale Family Chiropractic LLC

  • Chiropractor
  • Winter Haven, FL
National Provider Identifier
1891903399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HCC7248 Issued in FL
Legal business name
HAVENDALE FAMILY CHIROPRACTIC LLC
Practice address
1606 Havendale Blvd
Winter Haven, FL 33884
Phone
(863) 291-0800
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lamothe Jospeh
Title
President
Phone
(863) 291-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X HCC7248 FL Primary

Addresses

Primary practice location

1606 Havendale Blvd
Winter Haven, FL 33884

Mailing address

PO Box 2038
Haines City, FL 33845-2038
Phone (863) 291-0800

National Provider Directory

National Provider Directory

Locations

1606 Havendale Blvd NW
Winter Haven, FL 33881
Phone (863) 291-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891903399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2038",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338452038",
            "telephone_number": "863-291-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HAVENDALE BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-291-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENDALE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSPEH",
        "authorized_official_first_name": "LAMOTHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-291-0800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC7248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.