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MACDERMOTT GROUP LLC NPI 1689902199


NPI Information

NPI: 1689902199
Provider Name: MACDERMOTT GROUP, LLC

Doing Business As: ORLANDO RESORTS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1530 CELEBRATION BLVD STE 403
CELEBRATION, FL
ZIP 34747
Phone: (407) 566-3466
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MACDERMOTT GROUP, LLC is a chiropractor in Celebration, 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. MACDERMOTT GROUP, LLC NPI is 1689902199. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Orlando Resorts Chiropractic.

The provider's business location address is:

1530 CELEBRATION BLVD STE 403
CELEBRATION, FL
ZIP 34747-165
Phone: (407) 566-3466
Fax: (407) 566-9458

The provider's authorized official is Bret J Macdermott .
The authorized official title is Chiropractor and has the following contact phone number (407) 566-3466.

The enumeration date for this NPI number is 11/20/2009 and was last updated on 5/16/2013.


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
1111N00000XChiropractorCH9737FLORIDAYes

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
11417035940OTHERFLORIDAINDIVIDUAL NPI
21689902199OTHERFLORIDAGROUP NPI
3CO579AMEDICARE PINFLORIDA
42201BOTHERFLORIDABCBS

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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