SOUTH LAKELAND CHIROPRACTIC CENTER (NPI# 1700288644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700288644 |
| Entity Type | Organization |
| Organization Name | SOUTH LAKELAND CHIROPRACTIC CENTER |
| Other Organization Name | NEW HOPE CHIROPRACTIC |
| Practice Address |
201 W Christina Blvd Ste 1 Lakeland FL 33813-9812 |
| Mailing Address |
4788 S. Florida Ave. Lakeland FL 33813-9812 |
| Practice Telephone | 8636821170 |
| Mailing Telephone | 8636821170 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | DR. IDA FAITH ABRAHAM (OWNER) |
| Authorized Official Telephone | 8636821170 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH10871 | FL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| New Hope Chiropractic | Doing Business As Name - Organization |
| Street Address |
201 W CHRISTINA BLVD STE 1 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-9812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| 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 |
|---|---|---|---|---|
| 1225652878 | Trinity Medical Physicians LLC | Chiropractor | 3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 | 2020-05-29 |
| 1558982629 | Valerie Michelle Roseland | Chiropractor | 1509 S Florida Ave, Lakeland, FL 33803-2258 | 2020-04-30 |
| 1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
| 1669976171 | Sunshine State Chiropractic LLC | Chiropractor | 2953 Duff Rd, Lakeland, FL 33810-2188 | 2018-03-20 |
| 1609381110 | Joshua Chase Fish | Chiropractor | 8950 Us Highway 64 Ste 104, Lakeland, TN 38002-4566 | 2017-12-06 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1003270307 | Nancy M Bertelmann | Chiropractor | 308 W Highland Dr, Lakeland, FL 33813-1543 | 2016-04-12 |
| 1467841544 | Dr Ransford Robinson LLC | Chiropractor | 2161 E County Road 540a, #156, Lakeland, FL 33813-3794 | 2015-01-13 |
| 1326449588 | Christopher Ryan Barker | Chiropractor | 780 Small Oak Ln Apt 103, Lakeland, FL 33805-2360 | 2014-09-08 |
| 1639515893 | Ida Faith Abraham | Chiropractor | 4788 S Florida Ave, Lakeland, FL 33813-2181 | 2013-05-15 |
| Find all providers in LAKELAND | ||||
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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.