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1558729525 NPI number — PALMER CHIROPRACTIC AND WELLNESS

NPI Number: 1558729525
Health Care Provider/Practitioner: PALMER CHIROPRACTIC AND WELLNESS

Information about “1558729525” NPI (PALMER CHIROPRACTIC AND WELLNESS) exists in 1558729525 in HTML format HTML  |  1558729525 in plain Text format TXT  |  1558729525 in PDF (Portable Document Format) PDF  |  1558729525 in an XML format XML  formats.

NPI Number : 1558729525 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558729525",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PALMER CHIROPRACTIC AND WELLNESS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1555 HOWELL BRANCH RD",
    "SecondLineMailingAddress": "STE B-2",
    "MailingAddressCityName": "WINTER PARK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32789-1170",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-622-9090",
    "MailingAddressFaxNumber": "407-571-9570",
    "FirstLinePracticeLocationAddress": "1555 HOWELL BRANCH RD",
    "SecondLinePracticeLocationAddress": "STE B-2",
    "PracticeLocationAddressCityName": "WINTER PARK",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32789-1170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-622-9090",
    "PracticeLocationAddressFaxNumber": "407-571-9570",
    "EnumerationDate": "02/05/2016",
    "LastUpdateDate": "04/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PALMER",
    "AuthorizedOfficialFirstName": "WILLIAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/MANAGER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC, AP",
    "AuthorizedOfficialTelephoneNumber": "386-717-3029",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AP2928",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "CH11619",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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