Provider Demographics
NPI:1609175611
Name:MICHAEL E. HEMPFIELD, DC, FIAMA, LLC
Entity Type:Organization
Organization Name:MICHAEL E. HEMPFIELD, DC, FIAMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HEMPFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-774-1716
Mailing Address - Street 1:2629 W SR 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4878
Mailing Address - Country:US
Mailing Address - Phone:407-774-1716
Mailing Address - Fax:407-774-9527
Practice Address - Street 1:2629 W SR 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4878
Practice Address - Country:US
Practice Address - Phone:407-774-1716
Practice Address - Fax:407-774-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3817849 00Medicaid
FL88867Medicare UPIN