Magic Chiropractic Clinic.Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HCC6216 Issued in FL

Legal business name

MAGIC CHIROPRACTIC CLINIC.INC

Practice address

4945 S Orange Ave
Orlando, FL 32806-6957

Phone

(407) 770-0196

Fax

(407) 770-0194

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chesnel Raphael

Title

Manager

Phone

(407) 770-0196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962619569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066957",
            "telephone_number": "407-770-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066957",
            "telephone_number": "407-770-0196",
            "fax_number": "407-770-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC CHIROPRACTIC CLINIC.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "CHESNEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-770-0196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lourdes Maggi de la Guardia, MD
• Charles C Maggio, D.C.
• Jenna Maggio, LCSW, MCAP
• Albert Magh, MD
• Paria Maghsoudi
• Magic Kingdom Kids Services LLC
• Magic Medical Group Inc.
• Magic Medical Specialties Corp
• Magic Star Behavioral Group
• Magig Kingdom Kids Services LLC

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.