AHAVA-5772, LLC (NPI# 1417403221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417403221 |
| Entity Type | Organization |
| Organization Name | AHAVA-5772, LLC |
| Other Organization Name | NAMASTE CHIROPRACTIC |
| Practice Address |
5540 Pga Boulevard Suite 100 Palm Beach Gardens FL 33418 |
| Practice Telephone | 5615962714 |
| Mailing Telephone | 5615962714 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | DR. BETH JOY KOZAK (MANAGER) |
| Authorized Official Telephone | 5615962714 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7712 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | ES056Z | 01 |
| Other Name | Type Code |
|---|---|
| Namaste Chiropractic | Doing Business As Name - Organization |
| Street Address |
5540 PGA BOULEVARD SUITE 100 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1518438852 | Jessica E Harrison, Lcsw | Clinic/Center | 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418 | 2018-12-16 |
| 1275000879 | Dentists of Palm Beach Gardens, Pa | Dentist | 5380 Donald Ross, Rd., Suite 100, Palm Beach Gardens, FL 33418 | 2018-11-01 |
| 1861979932 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5410 Donald Ross Rd, Palm Beach Gardens, FL 33418 | 2018-07-23 |
| 1194240150 | Private Home Care LLC | Home Health | 5211 Celery Ln, Palm Beach Gardens, FL 33418 | 2017-08-10 |
| 1053836791 | Ashley Mooney | Pharmacist | 6251 Ave of The Pga, Palm Beach Gardens, FL 33418 | 2017-08-03 |
| 1063950343 | Spinal Motion Diagnostics Fort Lauderdale LLC | Clinic/Center | 8435 Man O War Road, Palm Beach Gardens, FL 33418 | 2017-02-07 |
| 1588108823 | Fernando Javier Rodriguez | Pharmacist | 290 Woodbine Way, Apt 215, Riviera Beach, FL 33418 | 2016-12-06 |
| 1811430036 | Lauren Alexandra Kratofil | Physical Therapist | 300 Avenue of The Champions, Palm Beach Gardens, FL 33418 | 2016-11-19 |
| 1164886016 | Michela C Curti | Nutritionist | 8035 Murano Circle, Palm Beach Gardens, FL 33418 | 2016-04-07 |
| Find all providers in zip 33418 | ||||
| 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 |
|---|---|---|---|---|
| 1750902748 | Jacweir Breslin II | Chiropractor | 4360 Northlake Blvd Ste 114, Palm Beach Gardens, FL 33410-6264 | 2020-04-30 |
| 1306409396 | Bruce A Goldberg D.c.,pa | Chiropractor | 10887 N Military Trl Ste 4, Palm Beach Gardens, FL 33410-6528 | 2019-04-16 |
| 1083071518 | Cassandra Lee Keesee | Chiropractor | 9121 N Military Trl Ste 104, Palm Beach Gardens, FL 33410-5985 | 2016-01-28 |
| 1619341104 | Florida Orthocare Network, LLC | Chiropractor | 11211 Prosperity Farms Rd Ste B104, Palm Beach Gardens, FL 33410-3453 | 2015-11-20 |
| 1992172324 | Matthew Dilallo | Chiropractor | 11211 Prosperity Farms Rd Ste A101, Palm Beach Gardens, FL 33410-3479 | 2015-09-02 |
| 1932576360 | Performance and Wellness Chiropractic Inc. | Chiropractor | 11211 Prosperity Farms Rd Unit A10, Palm Beach Gardens, FL 33410-3446 | 2015-09-02 |
| 1528458908 | Jason Martin Jewell | Chiropractor | 4233 Northlake Blvd, Palm Beach Gardens, FL 33410-6251 | 2015-01-23 |
| 1982943940 | Stephen Mac Swaringen | Chiropractor | 10945 N Military Trl, #124, Palm Beach Gardens, FL 33410-6501 | 2013-02-11 |
| 1891053104 | Amanda Nicole Delgado | Chiropractor | 2001 Bomar Dr Ste 1, Palm Beach Gardens, FL 33408-3014 | 2012-04-25 |
| 1942568274 | James Whitney Dc Pa | Chiropractor | 2513 Burns Rd, Suite B, Palm Beach Gardens, FL 33410-5204 | 2012-04-24 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33418 |
Please comment or provide details below to improve the information on AHAVA-5772, LLC.
| 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.