EXPERIENCE FAMILY CHIROPRACTIC (NPI# 1447794342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447794342 |
| Entity Type | Organization |
| Organization Name | EXPERIENCE FAMILY CHIROPRACTIC |
| Practice Address |
2378 Surfside Blvd Suite A133 Cape Coral FL 33991-3181 |
| Practice Telephone | 2392053700 |
| Mailing Telephone | 2392053700 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | DR. OMAR-SHAY CLARK (OWNER) |
| Authorized Official Telephone | 2392053700 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH11971 | FL | Chiropractic Providers |
| Street Address |
2378 SURFSIDE BLVD SUITE A133 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33991-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457895351 | Omar-shay Clark | Chiropractor | 2378 Surfside Blvd, Suite A133, Cape Coral, FL 33991-3181 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785847 | Modern Dental Cape Coral Pllc | Dentist | 706 Sw Pine Island Rd, Suite 103, Cape Coral, FL 33991 | 2020-03-17 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| 1518509975 | Neliudis Navarro Lores | Nurse Practitioner | 1814 Sw 23rd Ct, Cape Coral, FL 33991 | 2019-10-16 |
| 1487117388 | Johner Therapy Inc | Physical Therapist | 58 Nicholas Pkwy W #105, Cape Coral, FL 33991 | 2019-04-09 |
| 1184176901 | Gerta Avdia | Pharmacist | 611 Old Burnt Store Rd South, Cape Coral, FL 33991 | 2016-10-27 |
| 1285038109 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 301 Sw Pine Island Road, Cape Coral, FL 33991 | 2014-10-21 |
| 1225442676 | Gulf Coast Family Care, Plc | Nurse Practitioner | 814 Sw Pine Island Road, Suite 306, Cape Coral, FL 33991 | 2014-06-13 |
| 1760731848 | Florida Alf, Inc | Clinic/Center | 1318 Santa Barbara Blvd, Cape Coral, FL 33991 | 2012-09-05 |
| 1952574832 | Michael Anthony Fritz | Physical Therapist | 517 S.w. 8th Street, Cape Coral, FL 33991 | 2008-04-10 |
| 1306982350 | Dawn Marie Galbreath | Registered Nurse | 1002 Sw 9th Avenue, Cape Coral, FL 33991 | 2007-01-29 |
| Find all providers in zip 33991 | ||||
| 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 |
|---|---|---|---|---|
| 1194355610 | Kassandra Lynn Francis | Chiropractor | 418 Cape Coral Pkwy W, Cape Coral, FL 33914-6520 | 2020-01-23 |
| 1538720172 | Cape Wellness Inc | Chiropractor | 3326 Del Prado Blvd S Ste 9, Cape Coral, FL 33904-7236 | 2019-06-25 |
| 1316407398 | Hybrid Health and Recovery | Chiropractor | 2717 Santa Barbara Blvd Ste 160, Cape Coral, FL 33914-4432 | 2019-03-25 |
| 1225515422 | Lutz Health and Wellness LLC | Chiropractor | 1611 Santa Barbara Blvd Ste 170, Cape Coral, FL 33991-3448 | 2018-07-20 |
| 1801384573 | John R Penland | Chiropractor | 2516 Sw 52nd Ter, Cape Coral, FL 33914-7604 | 2018-04-27 |
| 1740731983 | Jack T Ludwig I | Chiropractor | 210 Del Prado Blvd S Ste 3, Cape Coral, FL 33990-1763 | 2016-10-24 |
| 1023416195 | Horizon Chiropractic Care Inc. | Chiropractor | 9 Del Prado Blvd N, Suite 1, Cape Coral, FL 33909-2777 | 2014-12-05 |
| 1417379116 | Ashton Leyland Begg | Chiropractor | 3316 Chiquita Blvd S, Suite # 1, Cape Coral, FL 33914-5164 | 2014-01-14 |
| 1164780474 | Eric Lloyd Harter | Chiropractor | 1611 Santa Barbara Blvd, 170, Cape Coral, FL 33991-3439 | 2012-04-25 |
| 1508138116 | Joshua Heith Deal | Chiropractor | 2539 Sw 26th Ave, Cape Coral, FL 33914-3824 | 2012-01-30 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33991 |
Please comment or provide details below to improve the information on EXPERIENCE FAMILY CHIROPRACTIC.
| 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.