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OCEANSIDE CHIROPRACTIC LLC NPI 1205275146


NPI Information

NPI: 1205275146
Provider Name: OCEANSIDE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D2212840

Address:
14 OFFICE PARK DRIVE
SUITE 6
PALM COAST, FL
ZIP 32137
Phone: (386) 283-4991
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OCEANSIDE CHIROPRACTIC LLC is a chiropractor in Palm Coast, 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. OCEANSIDE CHIROPRACTIC LLC NPI is 1205275146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14 OFFICE PARK DRIVE
SUITE 6
PALM COAST, FL
ZIP 32137-830
Phone: (386) 283-4991
Fax: (386) 283-4995

The provider's authorized official is Tracie Restieri .
The authorized official title is Doctor and has the following contact phone number (386) 283-4991.

The CLIA number assigned to this NPI record is 10D2212840 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2013 and was last updated on 8/5/2013.


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
1111N00000XChiropractorCH10855FLORIDAYes

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
1V08732MEDICARE UPIN
2HG655AOTHERFLORIDAPTAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.