Organization Active NPI

M.H.B. Legacy L.L.C.

Doing business as South Lake Chiropractic

  • Chiropractor
  • Clermont, FL
National Provider Identifier
1982948329
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10649 Issued in FL
Legal business name
M.H.B. LEGACY L.L.C.
Doing business as
South Lake Chiropractic
Practice address
255 W Highway 50
Clermont, FL 34711-3027
Phone
(352) 394-4615
Fax
(352) 394-7400
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Larhonhda Farmer, D.C.
Title
Chiropractor
Phone
(678) 756-4859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10649 FL Primary

Addresses

Primary practice location

255 W Highway 50
Clermont, FL 34711-3027

Mailing address

255 W Highway 50
Clermont, FL 34711-3027
Phone (352) 394-4615

Other names 1

  • SOUTH LAKE CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

255 W Highway 50
Clermont, FL 34711
Phone (352) 346-4615

7996 Rockbridge Rd
Lithonia, GA 30058
Phone (770) 864-9849

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1982948329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HIGHWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113027",
            "telephone_number": "352-394-4615",
            "fax_number": "352-394-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HIGHWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113027",
            "telephone_number": "352-394-4615",
            "fax_number": "352-394-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.H.B. LEGACY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LARHONHDA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "678-756-4859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH LAKE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.