Provider Demographics
NPI:1639374200
Name:FINNIE CHIROPRACTIC CENTER LLC
Entity Type:Organization
Organization Name:FINNIE CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINNIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-277-3535
Mailing Address - Street 1:1130 S SEMORAN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-1457
Mailing Address - Country:US
Mailing Address - Phone:407-277-3535
Mailing Address - Fax:407-277-6060
Practice Address - Street 1:1130 S SEMORAN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-1457
Practice Address - Country:US
Practice Address - Phone:407-277-3535
Practice Address - Fax:407-277-6060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1871591529OtherINDIVIDUAL NPI
FLK3992Medicare ID - Type UnspecifiedPROVIDER GROUP
FL76953Medicare ID - Type UnspecifiedPROVIDER INDIVIDUAL
FL1871591529OtherINDIVIDUAL NPI