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HEALTHSOURCE OF NORTHWEST FLORIDA LLC NPI 1104015866


NPI Information

NPI: 1104015866
Provider Name: HEALTHSOURCE OF NORTHWEST FLORIDA LLC

Doing Business As: HEALTHSOURCE OF NW FLORIDA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2122 W NINE MILE RD
PENSACOLA, FL
ZIP 32534
Phone: (850) 473-5555
Get Directions

HEALTHSOURCE OF NORTHWEST FLORIDA LLC is a chiropractor in Pensacola, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. HEALTHSOURCE OF NORTHWEST FLORIDA LLC NPI is 1104015866. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Healthsource Of Nw Florida.

The provider's business location address is:

2122 W NINE MILE RD
PENSACOLA, FL
ZIP 32534-464
Phone: (850) 473-5555
Fax: (850) 473-5505

The provider's authorized official is Jason D Rabinowitz .
The authorized official title is Owner Chiropractor and has the following contact phone number (850) 473-5555.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH7205FLORIDANo
2111N00000XChiropractorCH9112FLORIDAYes
3111N00000XChiropractorCH11561FLORIDANo
4111N00000XChiropractorCH11826FLORIDANo
5111N00000XChiropractorCH12186FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BM255AOTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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