DIVINE CHIROPRACTIC LLC NPI 1053019141

NPI Information

NPI: 1053019141
Provider Name: DIVINE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
385 NORTHLAKE BLVD APT 1033
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 853-2798
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DIVINE CHIROPRACTIC LLC is a chiropractor in Altamonte Springs, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DIVINE CHIROPRACTIC LLC NPI is 1053019141. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

385 NORTHLAKE BLVD APT 1033
ALTAMONTE SPRINGS, FL
ZIP 32701-251
Phone: (407) 853-2798

The provider's authorized official is Desla Charlery .
The authorized official title is Doctor/authorized Representative and has the following contact phone number (412) 652-6921.

The enumeration date for this NPI number is 2/20/2023 and was last updated on 2/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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