Heart of Florida Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10138 Issued in FL

Legal business name

HEART OF FLORIDA CHIROPRACTIC, INC.

Doing business as

Heart of Florida Chiropractic

Practice address

350 S 10TH St
Haines City, FL 33844-5602

Phone

(863) 422-4575

Fax

(863) 422-4573

NPI assigned

May 25, 2011

Last updated

Jun 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Carl Gagnon Jr., D.C.NPI 1023311917

Title

President

Phone

(863) 422-4575

Specialties & licenses 1

Addresses

Other names 1

• Heart of Florida Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Douglas Carl Gagnon Jr., D.C.

  • Chiropractor
  • Haines City, FL
  • NPI 1023311917
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1982997896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "863-422-4575",
            "fax_number": "863-422-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 10TH ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445602",
            "telephone_number": "863-422-4575",
            "fax_number": "863-422-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF FLORIDA CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-422-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Florida Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthstat Wellness-PCSB Haines Dispensing
• Healthstat Wellness-Polk Haines (Healthstat On-Site Clinic/Polk County)
• Heart of Florida Assisted Living BSLC LLC (Heart of Florida Assisted Living)
• Heart of Florida Cardiovascular Center, LLC
• Heart of Florida Care Inc. (Hampton Court)
• Heart of Gold Senior Services, LLC
• Heartland Healthcare Inc.
• Heavenly Choice Adult Group Home
• Heavenly Choice Adult Home
• Phil Bert Heller, D.C.

• Chiropractor in Haines City, FL
• Providers in Haines City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.