LIFE MISSION CHIROPRACTIC INC (NPI# 1770754483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770754483 |
| Entity Type | Organization |
| Organization Name | LIFE MISSION CHIROPRACTIC INC |
| Practice Address |
12276 San Jose Blvd Suite 512 Jacksonville FL 32223-8628 |
| Practice Telephone | 9048800202 |
| Mailing Telephone | 9048800202 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. PETER MICHAEL ADAMS (OWNER) |
| Authorized Official Telephone | 9048800202 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CH5198 | FL | Ambulatory Health Care Facilities |
| Street Address |
12276 SAN JOSE BLVD SUITE 512 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925922 | Luna I Khadour | Family Medicine | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8628 | 2005-07-14 |
| 1538773239 | Brenda Eileen Haga | Rehabilitation Practitioner | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-09-01 |
| 1073123600 | Catiana Augusme | Behavior Technician | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2020-08-07 |
| 1275066185 | Glenn Allan Turner Jr. | Behavior Technician | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223 | 2017-04-07 |
| 1063952547 | Kayleigh Ansteatt | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2017-03-02 |
| 1295279834 | Riyam Dhahir Yaseen | Developmental Therapist | 12276 San Jose Blvd, 508, Jacksonville, FL 32223-8628 | 2016-12-16 |
| 1316496417 | Ari Wallace | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-09-29 |
| 1992250492 | Lauren Beth Philbrick | Developmental Therapist | 12276 San Jose Blvd, Jacksonville, FL 32223-8628 | 2016-08-24 |
| 1922553882 | Brandi Marie Higginbotham | Developmental Therapist | 12276 San Jose Blvd, Suite 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| 1598210346 | Katharine Streets | Developmental Therapist | 12276 San Jose Blvd, Ste 508, Jacksonville, FL 32223-8628 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1053879437 | Healthletix Management, LLC | Clinic/Center | 3948 Sunbeam Rd Ste 7, Jacksonville, FL 32257-8931 | 2019-03-05 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1730580366 | Inception Healthcare Solutions LLC | Clinic/Center | 14701 Bartram Park Blvd Unit 1118, Jacksonville, FL 32258-5296 | 2014-09-15 |
| 1407277171 | Csi-pediatric Services, Inc. | Clinic/Center | 10750 Atlantic Blvd, Suite 11, Jacksonville, FL 32225-2946 | 2013-12-26 |
| 1831454248 | Holy Trinity Community Medical Center | Clinic/Center | 4001 Confederate Point Rd, Suite # 2, Jacksonville, FL 32210-5459 | 2012-07-11 |
| 1194057836 | Usimc of West Virginia Medical Corp | Clinic/Center | 7500 Centurion Pkwy Ste 100, Jacksonville, FL 32256-0517 | 2010-02-05 |
| 1437345014 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1584 Normandy Village Pkwy, Suite 32, Jacksonville, FL 32221-6800 | 2007-09-18 |
| 1508463845 | Concentra Medical Centers | Clinic/Center | 1524 Normandy Village Pkwy, Jacksonville, FL 32221-3222 | 2020-10-08 |
| 1174143986 | Mayo Clinic Jacksonville | Clinic/Center | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-04-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on LIFE MISSION CHIROPRACTIC INC.
| 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.