Florida Chiropractic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FLORIDA CHIROPRACTIC AND REHAB LLC

Practice address

4424 N Lois Ave Ste 4
Tampa, FL 33614-7320

Phone

(330) 309-9550

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Branden Race, DC

Title

Owner

Phone

(330) 309-9550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1982373387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 N LOIS AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147320",
            "telephone_number": "330-309-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 N LOIS AVE STE 4",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147320",
            "telephone_number": "330-309-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-309-9550",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.