Healthcare Provider Details

I. General information

NPI: 1316933047
Provider Name (Legal Business Name): MATTHEW NIXON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 E NORVELL BRYANT HWY
HERNANDO FL
34442-6500
US

IV. Provider business mailing address

1049 E NORVELL BRYANT HWY
HERNANDO FL
34442-6500
US

V. Phone/Fax

Practice location:
  • Phone: 256-300-0499
  • Fax:
Mailing address:
  • Phone: 256-300-0499
  • Fax: 239-656-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2291
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8126
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: