DR. RONALD JACK TRAVIS UTTER (NPI# 1366719619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366719619 |
| Entity Type | Individual |
| Full Name | DR. RONALD JACK TRAVIS UTTER |
| Credential | D.C. |
| Practice Address |
1355 Oakfield Dr Brandon FL 33511-4841 |
| Mailing Address |
448 Brown Pelican Dr. Daytona Beach FL 32119 |
| Practice Telephone | 8139007246 |
| Practice Fax Number | 8134092180 |
| Mailing Telephone | 4075091414 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 10487 | FL | Chiropractic Providers |
| Street Address |
1355 OAKFIELD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1538541552 | New Day Chiropractic and Health Solutions,llc | Chiropractor | 125 Hollybush Pl, Brandon, MS 39047-7332 | 2015-06-25 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1881943900 | Kennedy Chiropractic Clinic Inc | Chiropractor | 393 Crossgates Blvd, Suite B, Brandon, MS 39042 | 2012-09-05 |
| 1669776985 | Amanda Michelle Lenth | Chiropractor | 1806 Sterling Palms Ct Apt 302, Brandon, FL 33511-1728 | 2010-12-29 |
| 1073844684 | Vanessa Nichola Benton | Chiropractor | 500 Vonderburg Dr Ste 105, Brandon, FL 33511-5968 | 2010-01-21 |
| 1477788917 | Chad Franklin Polley | Chiropractor | 166 E Bloomingdale Ave, Suite B, Brandon, FL 33511-8101 | 2009-05-28 |
| 1104079466 | Richard E. Rogovin, Dc, Pa | Chiropractor | 506 Westbrook Ave, Brandon, FL 33511-5316 | 2008-10-30 |
| 1396909792 | Shanelle Etienne | Chiropractor | 920 W. Lumsden Rd, Brandon, FL 33511 | 2008-07-15 |
| Find all providers in BRANDON | ||||
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| 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.