LAKE NONA SPINE CENTER, INC.


Address: 10979 Savannah Landing Cir, Orlando, FL 32832-5104
Phone: 3212995266

LAKE NONA SPINE CENTER, INC. (NPI# 1225433741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225433741
Entity Type Organization
Organization Name LAKE NONA SPINE CENTER, INC.
Practice Address 10979 Savannah Landing Cir
Orlando
FL 32832-5104
Practice Telephone 3212995266
Practice Fax Number 4074036550
Mailing Telephone 3212995266
Mailing Fax Number 4074036550
Enumeration Date 2014-10-27
Last Update Date 2014-10-27
Authorized Official Name DR. CHRISTOPHER MATTHEW VANN (PCEO)
Authorized Official Telephone 3212995266
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CH10812 FL Chiropractic Providers

Office Location

Street Address 10979 SAVANNAH LANDING CIR
City ORLANDO
State FL
Zip Code 32832-5104

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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

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Competitor

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City ORLANDO
Zip Code 32832

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Dataset Information

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.

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