OVERLEA-FULLERTON CHIROPRACTIC CENTER PC NPI 1780801761

NPI Information

NPI: 1780801761
Provider Name: OVERLEA-FULLERTON CHIROPRACTIC CENTER PC

Former Legal Business Name: AUGUSTINE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5317 VILLAGE MARKET DRIVE
WESLEY CHAPEL, FL
ZIP 33544
Phone: (813) 994-6008
Get Directions

OVERLEA-FULLERTON CHIROPRACTIC CENTER PC is a chiropractor in Wesley Chapel, 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. OVERLEA-FULLERTON CHIROPRACTIC CENTER PC NPI is 1780801761. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Augustine Chiropractic.

The provider's business location address is:

5317 VILLAGE MARKET DRIVE
WESLEY CHAPEL, FL
ZIP 33544
Phone: (813) 994-6008
Fax: (813) 994-3063

The provider's authorized official is Brian J Augustine .
The authorized official title is Chiropractic Physician and has the following contact phone number (813) 994-6008.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 10/20/2010.

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		CH006174	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	CH006174	OTHER	FLORIDA	STATE LICENSE #
2	271773	OTHER	FLORIDA	WELLCARE PRVD#
3	593466707	OTHER	FLORIDA	CHIRO ALLIANCE #
4	T95652	MEDICARE UPIN	FLORIDA
5	=========	OTHER	FLORIDA	OVERLEA FULLERTONTAX ID #
6	295986	OTHER	FLORIDA	AVMED PRVD#
7	89273Z	MEDICARE PIN	FLORIDA
8	89273	OTHER	FLORIDA	BCBS PRVD#
9	K6418	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PROVIDER #
10	381806300	MEDICAID	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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