Provider Demographics
NPI:1629242326
Name:ARCADIA CHIROPRACTIC CLINIC, INC
Entity Type:Organization
Organization Name:ARCADIA CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-766-7110
Mailing Address - Street 1:12687 SW COUNTY ROAD 769 STE 3A
Mailing Address - Street 2:
Mailing Address - City:LAKE SUZY
Mailing Address - State:FL
Mailing Address - Zip Code:34269-5919
Mailing Address - Country:US
Mailing Address - Phone:941-766-7110
Mailing Address - Fax:941-889-7683
Practice Address - Street 1:12687 SW COUNTY ROAD 769 STE 3A
Practice Address - Street 2:
Practice Address - City:LAKE SUZY
Practice Address - State:FL
Practice Address - Zip Code:34269-5919
Practice Address - Country:US
Practice Address - Phone:941-766-7110
Practice Address - Fax:941-766-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH007539111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0690Medicare PIN