Healthcare Provider Details

I. General information

NPI: 1700798253
Provider Name (Legal Business Name): COMPASSION CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 CANOVA ST SE STE 1
PALM BAY FL
32909-3925
US

IV. Provider business mailing address

1707 CANOVA ST SE STE 1
PALM BAY FL
32909-3925
US

V. Phone/Fax

Practice location:
  • Phone: 321-389-1376
  • Fax:
Mailing address:
  • Phone: 321-389-1376
  • 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. JAMES WILLIAM SMITH
Title or Position: PRESIDENT
Credential: DC
Phone: 321-389-1376