PREMIER CHIROPRACTIC AND WELLNESS CENTER PLC (NPI# 1134393804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134393804 |
| Entity Type | Organization |
| Organization Name | PREMIER CHIROPRACTIC AND WELLNESS CENTER PLC |
| Practice Address |
3500 Beachwood Ct Suite 203 Jacksonville FL 32224-5706 |
| Practice Telephone | 9049966922 |
| Practice Fax Number | 9049966923 |
| Mailing Telephone | 9049966922 |
| Mailing Fax Number | 9049966923 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-10-06 |
| Authorized Official Name | DR. KIM MICHELLE JOHNSTON (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 9049966922 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | CH8655 | FL | Other Service Providers |
| Y | 111N00000X | Chiropractor | CH8655 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 889041 | 01 |
| Street Address |
3500 BEACHWOOD CT SUITE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750422606 | Norman E Marasigan | Physical Therapist | 3500 Beachwood Ct, Suite 203, Jacksonville, FL 32224-5706 | 2007-02-12 |
| 1053576975 | Eric D Mason | Physical Therapist | 3500 Beachwood Ct, Suite 203, Jacksonville, FL 32224-5706 | 2008-07-21 |
| 1437321767 | Christopher K Kopp | Physical Therapist | 3500 Beachwood Ct, Suite 203, Jacksonville, FL 32224-5706 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| 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 |
|---|---|---|---|---|
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588261572 | Postural Chiropractic | Chiropractor | 4263 Losco Rd Apt 623, Jacksonville, FL 32257-1449 | 2020-10-03 |
| 1932729639 | Medicussx Spine & Joint, LLC | Chiropractor | 9191 R G Skinner Pkwy Unit 901, Jacksonville, FL 32256-9663 | 2020-04-22 |
| 1801425913 | Yale Gordon | Chiropractor | 6263 Philips Hwy, Jacksonville, FL 32216-6047 | 2020-04-02 |
| 1437787454 | Holly Ganley | Chiropractor | 12486 Weeping Branch Cir, Jacksonville, FL 32218-9602 | 2020-03-27 |
| 1093347767 | Jennifer Vannoy | Chiropractor | 6100 Greenland Rd Ste 101, Jacksonville, FL 32258-2624 | 2020-02-10 |
| 1831739317 | True Wellness Health Center | Chiropractor | 1124 Bahia Blanca St S, Jacksonville, FL 32256-7393 | 2020-01-13 |
| 1356981955 | Endeavor Health Center | Chiropractor | 13051 Gran Bay Pkwy Unit 1328, Jacksonville, FL 32258-6515 | 2020-01-10 |
| 1134762834 | Christina Salvia | Chiropractor | 11900 Atlantic Blvd Ste 226, Jacksonville, FL 32225-2942 | 2019-10-25 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on PREMIER CHIROPRACTIC AND WELLNESS CENTER PLC.
| 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.