ROYAL PALM CHIROPRACTIC & REHAB CENTER P. A (NPI# 1669517173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669517173 |
| Entity Type | Organization |
| Organization Name | ROYAL PALM CHIROPRACTIC & REHAB CENTER P. A |
| Other Organization Name | NORTHLAKE CHIROPRACTIC |
| Practice Address |
3832 Northlake Blvd Palm Beach Gardens FL 33403-1535 |
| Practice Telephone | 5616279696 |
| Practice Fax Number | 5616276925 |
| Mailing Telephone | 5616279696 |
| Mailing Fax Number | 5616276925 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | JULIA CORINELLA (OFFICE MANAGER) |
| Authorized Official Telephone | 5613838080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8198 | FL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Northlake Chiropractic | Doing Business As Name - Organization |
| Street Address |
3832 NORTHLAKE BLVD |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33403-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391355 | Brittany Oclon | Physical Therapist | 3450 Northlake Blvd., Suite 101, Palm Beach Gardens, FL 33403 | 2019-08-15 |
| 1558836668 | Daniel Patirck Harrison | Nurse Practitioner | 903 Lake Shore Drive, Apt. 102, West Palm Beach, FL 33403 | 2018-10-04 |
| 1073099453 | Lashunda Blackshear | Nurse Practitioner | 538 Cypress Drive, Lake Park, FL 33403 | 2018-07-18 |
| 1659864049 | Tara E Turene | Behavior Technician | 900 Burma Road, Suit 109, Palm Beach Gardens, FL 33403 | 2018-06-11 |
| 1437672748 | Reasons for Change, LLC | Community Based Residential Treatment Facility, Mental Illness | 143 Silver Beach Road, Lake Park, FL 33403 | 2017-07-18 |
| 1427587815 | Kristin Barahona | Behavioral Analyst | 9000 Burma Road Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1497284855 | Brigitte Mallary Toledo | Behavioral Analyst | 9000 Burma Road, Suite 109, Palm Beach Gardens, FL 33403 | 2017-06-08 |
| 1568914539 | Daniel & Max, LLC | Optometrist | 3331 Northlake Blvd, Suite 1, Palm Beach Gardens, FL 33403 | 2016-10-26 |
| 1144778028 | Griffee Dental I Pa | Dentist | 3333 Northlake Blvd, Ste 6, Palm Beach Gardens, FL 33403 | 2016-09-20 |
| 1982158929 | Academy Whole Health Solutions | Substance Abuse Rehabilitation Facility | 504 10th St, Lake Park, FL 33403 | 2016-08-08 |
| Find all providers in zip 33403 | ||||
| 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 |
| 1417403221 | Ahava-5772, LLC | Chiropractor | 5540 Pga Boulevard, Suite 100, Palm Beach Gardens, FL 33418 | 2016-08-31 |
| 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 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33403 |
Please comment or provide details below to improve the information on ROYAL PALM CHIROPRACTIC & REHAB 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.