Organization Active NPI

South Florida Injury Centers

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1932723723
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOUTH FLORIDA INJURY CENTERS
Practice address
1700 SE Hillmoor Dr Ste 502
Port Saint Lucie, FL 34952-7566
Phone
(954) 606-6325
Fax
(772) 621-5131
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. William Winston Leonard Peterson
Title
Doctor
Phone
(954) 606-6325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr Ste 502
Port Saint Lucie, FL 34952-7566

Mailing address

1700 SE Hillmoor Dr Ste 502
Port Saint Lucie, FL 34952-7566
Phone (954) 606-6325

National Provider Directory

National Provider Directory

Locations

1700 SE Hillmoor Dr
Ste 502
Port St Lucie, FL 34952
Phone (772) 333-2648

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1932723723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 502",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527566",
            "telephone_number": "954-606-6325",
            "fax_number": "772-621-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR STE 502",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527566",
            "telephone_number": "954-606-6325",
            "fax_number": "772-621-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA INJURY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WINSTON LEONARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "954-606-6325",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Jun 8, 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.