DR. DANIEL J BOURASSA (NPI# 1043227994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043227994 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J BOURASSA |
| Credential | DC PHD |
| Practice Address |
103 Nightingale Ln Gulf Breeze FL 32561-4300 |
| Mailing Address |
1400 E De Soto St Pensacola FL 32501-3439 |
| Practice Telephone | 8502502730 |
| Mailing Telephone | 8502502730 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 6116 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE FOR FLORIDA | CH0006116 | 01 |
| Street Address |
103 NIGHTINGALE LN |
| City | GULF BREEZE |
| State | FL |
| Zip Code | 32561-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871773572 | Deborah D. Viglione M.d., LLC | Internal Medicine | 103 Nightingale Ln, Gulf Breeze, FL 32561-7205 | 2007-11-09 |
| 1922104777 | Deborah D Viglione | Internal Medicine | 103 Nightingale Ln, Gulf Breeze, FL 32561-7205 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416815 | Susan Carol Bane | Physical Therapist | 1500 Via Deluna, D6, Pensacola Beach, FL 32561 | 2020-01-17 |
| 1174027478 | Aegis Group Practice LLC | Occupational Therapist | 50 Joachim Drive, Gulf Breeze, FL 32561 | 2018-03-21 |
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| 1265836233 | Karen Tarvid | Radiologic Technologist | 1390 Fort Pickens Road, 212, Gulf Breeze, FL 32561 | 2014-10-20 |
| 1063825990 | Thomas Ryan Mcpherson | Dentist | 41 Fairpoint Dr Ste A, Gulf Breeze, FL 32561 | 2014-06-09 |
| 1316210974 | White Edward Gibson IIi | Internal Medicine | 408 N. Sunset Blvd., Gulf Breeze, FL 32561 | 2012-02-13 |
| 1467742866 | Katherine Seipel Crawford | Pediatrics | 15 Daniel Dr, Gulf Breeze, FL 32561 | 2011-04-19 |
| 1497067987 | Total Spinal Solutions LLC | Clinic/Center | 1300 Shoreline Drive, Ste. 104, Gulf Breeze, FL 32561 | 2010-07-13 |
| 1528184322 | Bonnie Dansby | Nurse Practitioner | 1600 Via Deluna Drive, E403, Pensacola Beach, FL 32561 | 2007-03-22 |
| 1891841425 | Darby Lynn Godwin | Psychologist | 7 Center Road, Gulf Breeze, FL 32561 | 2007-01-26 |
| Find all providers in zip 32561 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821565359 | In Line Chiropractic and Wellness Center LLC | Chiropractor | 5668 Gulf Breeze Pkwy Unit 6, Gulf Breeze, FL 32563-4107 | 2018-11-02 |
| 1033630751 | In Line Chiropractic and Wellness Center LLC | Chiropractor | 5668 Gulf Breeze Pkwy # B6, Gulf Breeze, FL 32563-9524 | 2017-07-03 |
| 1902124399 | Urmos Chiropractic Health Center Pa | Chiropractor | 2870 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3146 | 2010-05-10 |
| 1740301613 | Gulf Breeze Chiropractic Pa D/b/a Hall Chiropractic & Sports Medicine | Chiropractor | 1101 Gulf Breeze Pkwy, Suite 106, Gulf Breeze, FL 32561-4862 | 2007-04-02 |
| 1215098975 | Robert Burr Randel | Chiropractor | 3417 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3476 | 2006-12-13 |
| 1356423719 | Cynthia Urmos | Chiropractor | 2870 Gulf Breeze Parkway, Gulf Breeze, FL 32563 | 2006-10-19 |
| 1255444238 | Richard Jacobs | Chiropractor | 215 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2006-08-16 |
| 1649284407 | Kenneth Leamon Williams | Chiropractor | 107 Bay Bridge Dr, Gulf Breeze, FL 32561-4470 | 2006-07-28 |
| 1588631675 | Karen Cann | Chiropractor | 4657 Gulf Breeze Pkwy, Units A & B, Gulf Breeze, FL 32563-9166 | 2006-03-07 |
| 1114477254 | Patrick Saden | Chiropractor | 107 Bay Bridge Dr, Gulf Breeze, FL 32561 | 2016-10-13 |
| Find all providers in GULF BREEZE | ||||
| City | GULF BREEZE |
| Zip Code | 32561 |
Please comment or provide details below to improve the information on DR. DANIEL J BOURASSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.