SOUTHERN SPINAL REHAB, LLC (NPI# 1396994133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994133 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SPINAL REHAB, LLC |
| Practice Address |
91 W Hood Dr Pensacola FL 32534-3019 |
| Practice Telephone | 8504754227 |
| Practice Fax Number | 8504758200 |
| Mailing Telephone | 8504754227 |
| Mailing Fax Number | 8504758200 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | DR. STEPHEN B HAAS (PRESIDENT / OWNER) |
| Authorized Official Telephone | 8504754227 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | 6329 | FL | Chiropractic Providers |
| Street Address |
91 W HOOD DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32534-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981504 | Nf Nine Mile, LLC | Skilled Nursing Facility | 9310 Fowler Avenue, Pensacola, FL 32534 | 2019-06-18 |
| 1003207630 | Lenora Diann Wesley | Custodial Care Facility | 7840 Herrington Drive, Pensacola, FL 32534 | 2015-02-18 |
| 1336553759 | Charlotte Creahan | Pharmacist | 8814 C Palafox Hwy, Ensley Pharmacy, Penscola, FL 32534 | 2014-06-13 |
| 1801166368 | Neetin Patel | Pharmacist | 20 West Nine Mile Rd, Pensacola, FL 32534 | 2011-12-30 |
| 1891760377 | Adrian Laertes Goram | Pharmacist | 2237 W 9 Mile Rd, Walgreens Store 10181, Pensacola, FL 32534 | 2006-02-20 |
| 1558346213 | Angela B Bray | Physician Assistant | 8596 Orange Avenue, Pensacola, FL 32534 | 2005-12-14 |
| 1689669285 | Lori Lynn Everett | Dentist | 307 Boatner Road Suite 114, Eglin Afb, FL 32534 | 2005-09-20 |
| 1043565781 | Nada Samir Ilia | Dentist | 8390 N Palafox St, Promed Dental Clinic, Pensacola, FL 32534 | 2012-07-18 |
| 1770591968 | Steven L Jackson, Inc | Pharmacist | 2256 W Nine Mile Rd, Pensacola, FL 32534 | 2006-08-03 |
| 1255351847 | Ashley W Plummer | Specialist/Technologist | 1316 Jasper Street, Pensacola, FL 32534-0423 | 2006-07-19 |
| Find all providers in zip 32534 | ||||
| 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 |
|---|---|---|---|---|
| 1245869056 | Wellness Way Pensacola LLC | Chiropractor | 810 Scenic Hwy Ste A, Pensacola, FL 32503-6866 | 2020-04-03 |
| 1376180604 | Vladimir Djuric | Chiropractor | 12960 Lillian Hwy, Pensacola, FL 32506-8423 | 2019-12-05 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1821569146 | Robert Dominic Corvino II | Chiropractor | 4300 Bayou Blvd Ste 31a, Pensacola, FL 32503-1949 | 2018-12-14 |
| 1992280309 | Gabriel Waterman | Chiropractor | 600 University Office Blvd Ste 14, Pensacola, FL 32504-6247 | 2018-10-02 |
| 1538604509 | East Hill Medical Group | Chiropractor | 99 S Alcaniz St Ste B, Pensacola, FL 32502-8002 | 2016-12-30 |
| 1881017838 | Advanced Family Chiropractic of Pensacola | Chiropractor | 2901 E Cervantes St, Ste B, Pensacola, FL 32503-6418 | 2014-01-28 |
| 1013346428 | Comprehensive Pain Services Pllc | Chiropractor | 698 Brent Ln, Pensacola, FL 32503-2104 | 2013-11-06 |
| 1669719589 | Robert Thomson Jr. | Chiropractor | 280 N Palafox St, Pensacola, FL 32502-4841 | 2013-01-11 |
| 1669727350 | Dr. Edwin Roberts Chiropractic, Plc | Chiropractor | 4469 Mobile Hwy, Pensacola, FL 32506-8241 | 2012-07-18 |
| Find all providers in PENSACOLA | ||||
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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.