Michael Struble, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8753 Issued in FL

Legal business name

MICHAEL STRUBLE, P.A.

Doing business as

Palm Coast Chiropractic Clinic

Practice address

4883 Palm Coast Pkwy NW Unit 4
Palm Coast, FL 32137-3675

Phone

(386) 445-6565

Fax

(386) 445-4481

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Michael Dean Struble, DC

Title

Chiropractor/Owner

Phone

(386) 445-6565

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Palm Coast Chiropractic Clinic Doing business as

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1902966807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 PALM COAST PKWY NW UNIT 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373675",
            "telephone_number": "386-445-6565",
            "fax_number": "386-445-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 PALM COAST PKWY NW UNIT 4",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373675",
            "telephone_number": "386-445-6565",
            "fax_number": "386-445-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STRUBLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "386-445-6565",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97003",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Coast Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Matuszczak DC, PA
• Tatiana Mijac, SLP
• Bryn Miles, M.ED., CCC-SLP
• Marcus Miles
• Morgan Nicole Miles, PA-C
• Sonia Isabel Millan Pinzon, MD

• Chiropractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.