Organization Active NPI

Absolute Healthcare Advanced Chiropractic P a

  • Primary Care Clinic/Center
  • Port St Lucie, FL
National Provider Identifier
1962677260
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CH 9533 Issued in FL
Legal business name
ABSOLUTE HEALTHCARE ADVANCED CHIROPRACTIC P A
Practice address
1973 SW Savage Blvd
111
Port St Lucie, FL 34953-2791
Phone
(772) 344-4890
Fax
(772) 286-1448
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Joseph L Pate, D.C.NPI 1700064698
Title
Director
Phone
(772) 344-4890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CH 9533 FL Primary

Addresses

Primary practice location

1973 SW Savage Blvd
111
Port St Lucie, FL 34953-2791

Mailing address

1973 SW Savage Blvd
111
Port St Lucie, FL 34953-2791
Phone (772) 344-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000379 FL Part B Supplier - Clinic/Group Practice 3173696523 Receives reassigned benefits from 2 practitioners
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Locations

1973 SW Savage Blvd
Ste 111
Port St Lucie, FL 34953
Phone (772) 214-2037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1962677260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD",
            "address_2": "111",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791",
            "telephone_number": "772-344-4890",
            "fax_number": "772-286-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD",
            "address_2": "111",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791",
            "telephone_number": "772-344-4890",
            "fax_number": "772-286-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HEALTHCARE ADVANCED CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-344-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "CH 9533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.