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COCOA CHIROPRACTIC CENTER PA NPI 1841755907


NPI Information

NPI: 1841755907
Provider Name: COCOA CHIROPRACTIC CENTER PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
111 N FISKE BLVD
COCOA, FL
ZIP 32922
Phone: (321) 636-6090
Get Directions

COCOA CHIROPRACTIC CENTER PA is a chiropractor in Cocoa, 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. COCOA CHIROPRACTIC CENTER PA NPI is 1841755907. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

111 N FISKE BLVD
COCOA, FL
ZIP 32922-211
Phone: (321) 636-6090
Fax: (321) 632-5805

The provider's authorized official is Andrew R Canavan .
The authorized official title is President and has the following contact phone number (321) 636-6090.

The enumeration date for this NPI number is 2/4/2019 and was last updated on 8/16/2023.


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

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
11639143118OTHERFLORIDACHIROPRACTOR
21093051815OTHERFLORIDACHIROPRACTOR

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

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.