Provider Demographics
NPI:1376563890
Name:FELHEIM, RHONDA SARAH (MS, DC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:SARAH
Last Name:FELHEIM
Suffix:
Gender:F
Credentials:MS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 SE 14TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-9285
Mailing Address - Country:US
Mailing Address - Phone:352-375-4596
Mailing Address - Fax:
Practice Address - Street 1:4509 NW 23RD AVE STE 14
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6570
Practice Address - Country:US
Practice Address - Phone:352-377-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7305111N00000X
GACHIR005681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU68868Medicare UPIN
FL55611Medicare ID - Type Unspecified