SPORTS AND SPINE INJURY CENTER PA NPI 1174706485

NPI Information

NPI: 1174706485
Provider Name: SPORTS AND SPINE INJURY CENTER PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
654 W INDIANTOWN RD
SUITE 107
JUPITER, FL
ZIP 33458
Phone: (561) 745-1002
Get Directions

SPORTS AND SPINE INJURY CENTER PA is a chiropractor in Jupiter, 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. SPORTS AND SPINE INJURY CENTER PA NPI is 1174706485. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

654 W INDIANTOWN RD
SUITE 107
JUPITER, FL
ZIP 33458-546
Phone: (561) 745-1002
Fax: (561) 745-7880

The provider's authorized official is August John La Ruffa .
The authorized official title is President/doctor and has the following contact phone number (561) 745-1002.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/17/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH6529	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AW490	MEDICARE UPIN
2	AW490	MEDICARE PIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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