WAKEMAN CHIROPRACTIC PA NPI 1245318492

NPI Information

NPI: 1245318492
Provider Name: WAKEMAN CHIROPRACTIC , PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
:
Address: 305 MEMORIAL MEDICAL PKWY STE 305
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 673-0201

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NPI Details

WAKEMAN CHIROPRACTIC , PA is a chiropractor in Daytona Beach, 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. WAKEMAN CHIROPRACTIC , PA NPI is 1245318492. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

305 MEMORIAL MEDICAL PKWY STE 305
DAYTONA BEACH, FL
ZIP 32117-169
Phone: (386) 673-0201
Fax: (386) 677-8143

The provider's authorized official is Peter J Wakeman .
The authorized official title is Owner/president and has the following contact phone number (386) 673-0201.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 2/5/2025.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	CH1429	FLORIDA	Yes
2	111N00000X	Chiropractor	CH5831	FLORIDA	No
3	225100000X	Physical Therapist	PT22240	FLORIDA	No
4	332B00000X	Durable Medical Equipment & Medical Supplies	CH1429	FLORIDA	No
5	332B00000X	Durable Medical Equipment & Medical Supplies	CH5831	FLORIDA	No

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	DB4204	OTHER	FLORIDA	RAILROAD MEDICARE GROUP PIN
2	74592	OTHER	FLORIDA	BCBS GROUP NUMBER

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: 11/21/2025

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