Healthcare Provider Details

I. General information

NPI: 1134068877
Provider Name (Legal Business Name): ATLAS FIRST CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 COURTLAND ST STE 280
ORLANDO FL
32804-1361
US

IV. Provider business mailing address

604 COURTLAND ST STE 280
ORLANDO FL
32804-1361
US

V. Phone/Fax

Practice location:
  • Phone: 407-853-4829
  • Fax:
Mailing address:
  • Phone: 407-853-4829
  • 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. KENDALL MERRILL
Title or Position: CHIROPRACTOR/ OWNER
Credential: DC
Phone: 407-616-6525