DR. BRADLEY HAVLICEK (NPI# 1245632017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245632017 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY HAVLICEK |
| Credential | D.C. |
| Practice Address |
2085 A1a S Ste 103 Saint Augustine FL 32080-6505 |
| Mailing Address |
2085 A1a S Ste 103 St Augustine FL 32080-6505 |
| Practice Telephone | 9045152225 |
| Mailing Telephone | 9045152225 |
| Mailing Fax Number | 9045152235 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2017-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11280 | FL | Chiropractic Providers |
| Street Address |
2085 A1A S STE 103 |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32080-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| 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 |
|---|---|---|---|---|
| 1194290320 | Changing Tides Chiropractic & Wellness, LLC. | Chiropractor | 1000 Plantation Island Dr S Ste 9, Saint Augustine, FL 32080-3106 | 2018-10-03 |
| 1942682067 | Thrive Chiropractic & Yoga LLC | Chiropractor | 193 San Marco Ave, Saint Augustine, FL 32084-2733 | 2015-06-25 |
| 1548642085 | Kristi Barnewolt | Chiropractor | 2208 Commodores Club Blvd, Saint Augustine, FL 32080-9161 | 2015-06-21 |
| 1417235276 | Relyon Chiropractic and Rehab Inc | Chiropractor | 140 Calle El Jardin, Unit 201, Saint Augustine, FL 32095-6885 | 2011-07-28 |
| 1225325806 | Mark Thomas Murphy | Chiropractor | 1884 S Cappero Dr, Saint Augustine, FL 32092-4768 | 2011-07-05 |
| 1114252699 | Gary Douglas Kines | Chiropractor | 140 Calle Eljardin, Unit 201, Saint Augustine, FL 32095-6885 | 2009-10-16 |
| 1194982348 | Danita Thomas Heagy, D.c., LLC | Chiropractor | 4425 Us Highway 1 S Ste 109, Saint Augustine, FL 32086-3127 | 2008-05-16 |
| 1891997888 | John K Worz | Chiropractor | 150 Kent Rd, Suite 1a, Saint Augustine, FL 32086-6350 | 2007-06-03 |
| 1083779557 | Edward Tanza Jr. | Chiropractor | 52 Tuscan Way, Ste. 202-148, Saint Augustine, FL 32092-1850 | 2006-12-26 |
| 1598849259 | Jennifer Finger Allen | Chiropractor | 304 Kingsley Lake Dr, #603, Saint Augustine, FL 32092-3042 | 2006-10-25 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32080 |
Please comment or provide details below to improve the information on DR. BRADLEY HAVLICEK.
| 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.