Provider Demographics
NPI:1417951476
Name:ARMSTRONG, ORLAND KAY III (DC)
Entity Type:Individual
Prefix:DR
First Name:ORLAND
Middle Name:KAY
Last Name:ARMSTRONG
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-3204
Mailing Address - Country:US
Mailing Address - Phone:321-783-4455
Mailing Address - Fax:321-783-8802
Practice Address - Street 1:1401 N ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3204
Practice Address - Country:US
Practice Address - Phone:321-783-4455
Practice Address - Fax:321-783-8802
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10703913OtherCAQH PROVIDER ID
FL55629OtherBLUE CROSS BLUE SHIELD
FL350 051 717OtherRAILROAD MEDICARE
FL55629OtherBLUE CROSS BLUE SHIELD
FL593578278OtherTAX ID NUMBER
FL69410Medicare UPIN