Space Coast Chiropractic Inc in West Melbourne - Chiropractor

Space Coast Chiropractic Inc - NPI 1013033927

Space Coast Chiropractic Inc is a Chiropractor in West Melbourne, Florida. Space Coast Chiropractic Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Space Coast Chiropractic Inc is 1013033927. The last update date is 2020-08-22.

Space Coast Chiropractic Inc's current location address is 1070 S Wickham Road, West Melbourne, Florida. You can contact this provider via phone number 3217299000 and fax number 3217223997. The mailing address for Space Coast Chiropractic Inc is 1070 S Wickham Road, West Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Space Coast Chiropractic Inc
Address 1070 S Wickham Road, West Melbourne, Florida
Phone Number 3217299000
Fax Number 3217223997
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIROPRACT
Authorized Official Name Coley L Kimmie
Credentials DC
Telephone Number 3217299000

NPI Number Detail

NPI Number 1013033927
Provider Enumeration Date 2007-03-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1070 S Wickham Road
City West Melbourne
State Florida (FL)
Post Code 32904
Phone Number 3217299000
Fax Number 3217223997

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH8196
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
1628516000 FL ACS-DEPARTMENT OF LABOR

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FAQs about Space Coast Chiropractic Inc

What is the unique 10-digit identifier code issued to Space Coast Chiropractic Inc by the Centers for Medicare & Medicaid Services?

The Space Coast Chiropractic Inc has been assigned the NPI (National Provider Identifier) 1013033927 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Space Coast Chiropractic Inc?

The Space Coast Chiropractic Inc is physically situated at 1070 S Wickham Road, in the city of West Melbourne, state of FL, with the postal code 32904.

What is Space Coast Chiropractic Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Space Coast Chiropractic Inc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

When did the Space Coast Chiropractic Inc receive its 1013033927?

The Space Coast Chiropractic Inc was issued its 1013033927 on 2007-03-22, which is the date when the organization was assigned this unique identifier.

When was the information regarding Space Coast Chiropractic Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Space Coast Chiropractic Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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