STOCK CHIROPRACTIC WELLNESS CENTER, P.A. (NPI# 1548570799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548570799 |
| Entity Type | Organization |
| Organization Name | STOCK CHIROPRACTIC WELLNESS CENTER, P.A. |
| Other Organization Name | FEDER HEALTH CLINIC, P.A. |
| Practice Address |
2310 Tamiami Trl Unit 2121 Punta Gorda FL 33950-5934 |
| Practice Telephone | 9412052225 |
| Practice Fax Number | 9412053000 |
| Mailing Telephone | 9412052225 |
| Mailing Fax Number | 9412053000 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | DR. JACOB EDWARD STOCK (OWNER) |
| Authorized Official Telephone | 9412052225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022641200 | 05 |
| Other Name | Type Code |
|---|---|
| Feder Health Clinic, P.A. | Former Legal Business Name - Organization |
| Street Address |
2310 TAMIAMI TRL UNIT 2121 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| 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 |
|---|---|---|---|---|
| 1831405661 | Joseph Richard Eisenhauer | Chiropractor | 2517 Rio Grande Dr, Punta Gorda, FL 33950-6313 | 2010-08-31 |
| 1134309081 | Complete Health Medical Center Inc | Chiropractor | 41720 Horseshoe Rd, Punta Gorda, FL 33982-7767 | 2007-11-08 |
| 1124224613 | Spinal Health and Rehab | Chiropractor | 2905 Tamiami Trl, Punta Gorda, FL 33950-7272 | 2007-06-22 |
| 1689798506 | James Peter Vanderbeck | Chiropractor | 27298 Washington St, Punta Gorda, FL 33983-8750 | 2007-03-17 |
| 1013049675 | Levin Ratliff | Chiropractor | 223 Wood St, Punta Gorda, FL 33950-3844 | 2007-03-09 |
| 1861425647 | Gregory James Hengel Jr. | Chiropractor | 24901 Sandhill Blvd Unit 8, Punta Gorda, FL 33983-5207 | 2006-07-08 |
| 1326071143 | Gordon L. Rodetsky | Chiropractor | 2705 Tamiami Trl Unit 215, Punta Gorda, FL 33950-6988 | 2006-07-07 |
| 1164424297 | Kenneth S Feder | Chiropractor | 2310 Tamiami Trl, Suite 2121, Punta Gorda, FL 33950-5932 | 2005-08-10 |
| 1558813915 | Joyce Grace Dc LLC | Chiropractor | 119 Taylor St, Punta Gorda, FL 33950-3654 | 2016-11-01 |
| 1518210574 | Robert J Aruta | Chiropractor | 119 Taylor St, Punta Gorda, FL 33950-3654 | 2012-10-16 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on STOCK CHIROPRACTIC WELLNESS CENTER, P.A..
| 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.