Healthsource Of Northwest Florida Llc in Pensacola - Chiropractor
Healthsource Of Northwest Florida Llc - NPI 1104015866
Healthsource Of Northwest Florida Llc is a Chiropractor in Pensacola, Florida. Healthsource Of Northwest Florida Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Healthsource Of Northwest Florida Llc is 1104015866. The last update date is 2022-07-21.
Healthsource Of Northwest Florida Llc's current location address is 2122 W Nine Mile Rd, Pensacola, Florida. You can contact this provider via phone number 8504735555 and fax number 8504735505. The mailing address for Healthsource Of Northwest Florida Llc is 2122 W Nine Mile Rd, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Healthsource Of Northwest Florida Llc |
|---|---|
| Address | 2122 W Nine Mile Rd, Pensacola, Florida |
| Phone Number | 8504735555 |
| Fax Number | 8504735505 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER CHIR |
|---|---|
| Authorized Official Name | Rabinowitz D Jason |
| Credentials | DC |
| Telephone Number | 8504735555 |
NPI Number Detail
| NPI Number | 1104015866 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2122 W Nine Mile Rd |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325349464 |
| Phone Number | 8504735555 |
| Fax Number | 8504735505 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH11561 |
|
Definition: 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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BM255A | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the Healthsource Of Northwest Florida Llc's unique identification number?
The Healthsource Of Northwest Florida Llc has been assigned the NPI (National Provider Identifier) Number 1104015866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Healthsource Of Northwest Florida Llc located?
The Healthsource Of Northwest Florida Llc is located at 2122 W Nine Mile Rd, Pensacola, FL 325349464.
What is the area of specialization for Healthsource Of Northwest Florida Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Healthsource Of Northwest Florida Llc is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Healthsource Of Northwest Florida Llc receive its 1104015866 assignment from the Centers for Medicare & Medicaid Services?
The Healthsource Of Northwest Florida Llc was assigned its 1104015866 on 2007-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Healthsource Of Northwest Florida Llc most recently updated or refreshed?
The details pertaining to the Healthsource Of Northwest Florida Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.