VICTORY SPINAL CARE BREVARD COUNTY LLC NPI 1558271023

NPI Information

  • NPI: 1558271023
  • Provider Name: VICTORY SPINAL CARE BREVARD COUNTY LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 301 W FEE AVE STE 102
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 479-2403

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NPI Details

VICTORY SPINAL CARE BREVARD COUNTY LLC is a chiropractor in Melbourne, 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. VICTORY SPINAL CARE BREVARD COUNTY LLC NPI is 1558271023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 W FEE AVE STE 102
MELBOURNE, FL
ZIP 32901-145
Phone: (321) 479-2403

The provider's authorized official is Jered Wayland .
The authorized official title is Owner/managing Member and has the following contact phone number (573) 837-9107.

The enumeration date for this NPI number is 9/8/2026 and was last updated on 9/8/2026.

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
1111N00000XChiropractorYes

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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