Organization Active NPI

Florida Chiropractic LLC

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1902810815
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7659 Issued in FL
Legal business name
FLORIDA CHIROPRACTIC LLC
Practice address
1944 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5510
Phone
(772) 878-6500
Fax
(772) 878-6501
NPI assigned
Jul 28, 2006
Last updated
Apr 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Mark S. Maier, D.C.NPI 1104978667
Title
Owner
Phone
(772) 878-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007060 FL
Chiropractor 111N00000X CH7659 FL Primary

Addresses

Primary practice location

1944 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5510

Mailing address

1944 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5510
Phone (772) 878-6500

National Provider Directory

National Provider Directory

Locations

693 SW Port St Lucie Blvd
St Lucie West, FL 34953
Phone (772) 398-6200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1902810815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525510",
            "telephone_number": "772-878-6500",
            "fax_number": "772-878-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525510",
            "telephone_number": "772-878-6500",
            "fax_number": "772-878-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "MAIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-878-6500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007060",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.