DR. FRED LLOYD GIBSON IV (NPI# 1578077228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578077228 |
Entity Type | Individual |
Full Name | DR. FRED LLOYD GIBSON IV |
Credential | DC |
Practice Address |
1449 Thomasville Rd Tallahassee FL 32303-5609 |
Mailing Address |
379 Lake Kathryn Cir Casselberry FL 32707-3001 |
Practice Telephone | 8507656038 |
Mailing Telephone | 4079497037 |
Enumeration Date | 2017-11-16 |
Last Update Date | 2017-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 12141 | FL | Chiropractic Providers |
Street Address |
1449 THOMASVILLE RD |
City | TALLAHASSEE |
State | FL |
Zip Code | 32303-5609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
Find all providers in zip 32303 |
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 |
---|---|---|---|---|
1306316237 | Teegan David Fiedler | Chiropractor | 4004 Norton Ln Ste 102, Tallahassee, FL 32308-5966 | 2018-12-04 |
1134631492 | Bci Chiropractic LLC | Chiropractor | 3375 Capital Cir Ne Bldg C100, Tallahassee, FL 32308-8700 | 2017-10-26 |
1417474685 | Christine Denise Britt | Chiropractor | 6668 Thomasville Rd, Tallahassee, FL 32312-4878 | 2017-08-28 |
1376071928 | Bevis Family Chiropractic, P.a. | Chiropractor | 1950 Thomasville Rd Ste E, Tallahassee, FL 32303-5262 | 2017-05-26 |
1568904936 | Claude Wade Skinner II | Chiropractor | 3375 Capital Cir Ne Bldg C, Tallahassee, FL 32308-3778 | 2016-11-16 |
1528510641 | New Dimensions Chiropractic Center Inc | Chiropractor | 1560 Capital Cir Nw Ste 19, Tallahassee, FL 32303-3181 | 2016-10-25 |
1841744182 | Smith Family Chiropractic | Chiropractor | 2447 Mill Creek Ct Ste 1, Tallahassee, FL 32308-8301 | 2016-08-03 |
1972056646 | Dr. J. Paul Grant Jr | Chiropractor | 1350 E Call St, Tallahassee, FL 32301-2804 | 2016-07-29 |
1679930689 | Andrew James Lewis Jr. | Chiropractor | 1560 Capital Cir Nw, Unit 19, Tallahassee, FL 32303-1312 | 2016-01-21 |
1912300823 | Pathway Wellness Chiropractic Clinic | Chiropractor | 2425 Mahan Dr Ste A, A, Tallahassee, FL 32308-2301 | 2014-10-06 |
Find all providers in TALLAHASSEE |
City | TALLAHASSEE |
Zip Code | 32303 |
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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.