Physicians Health Center of North Florida

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9979 Issued in FL

Legal business name

PHYSICIANS HEALTH CENTER OF NORTH FLORIDA

Practice address

4000 Saint Johns Ave
Suite 35
Jacksonville, FL 32205-9357

Phone

(904) 236-4619

Fax

(904) 367-0290

NPI assigned

Apr 9, 2012

Last updated

Apr 9, 2012By 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

Dr. Jay Michael Littlefield II, DC

Title

Chiropractor/Managing Member

Phone

(904) 236-4619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1902162555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 BOSTON HWY",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323444401",
            "telephone_number": "904-236-4619",
            "fax_number": "904-367-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAINT JOHNS AVE",
            "address_2": "SUITE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059357",
            "telephone_number": "904-236-4619",
            "fax_number": "904-367-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH CENTER OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "LITTLEFIELD",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "904-236-4619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.