Cloud Chiropractic of Haines City

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CLOUD CHIROPRACTIC OF HAINES CITY

Practice address

651 E Main St Ste 10
Haines City, FL 33844-4241

Phone

(407) 399-9070

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Anicia Vicente, MA

Title

Director of Billing

Phone

(407) 399-9070

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1912590472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3268",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328023268",
            "telephone_number": "407-399-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E MAIN ST STE 10",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444241",
            "telephone_number": "407-399-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUD CHIROPRACTIC OF HAINES CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "ANICIA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "407-399-9070",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anicia@asynergybilling.com",
            "affiliation": "N",
            "endpointDescription": "anicia@asynergybilling.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "651 E Main St Ste 10",
            "city": "Haines City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338444241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Haines City, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.