Healthcare Provider Details

I. General information

NPI: 1912843368
Provider Name (Legal Business Name): M CHIROPRACTIC AND WELLNESS L L C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E CENTRAL PKWY STE 245
ALTAMONTE SPRINGS FL
32701-3401
US

IV. Provider business mailing address

1667 KINGSTON RD
LONGWOOD FL
32750-6219
US

V. Phone/Fax

Practice location:
  • Phone: 786-457-7577
  • Fax:
Mailing address:
  • Phone: 786-457-7577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. YASER MUSSA JIMENEZ
Title or Position: OWNER/PRESIDENT
Credential: DC
Phone: 786-457-7577