Radiant Health Chiropractic Llc

LBN: Radiant Health Chiropractic Llc
Radiant Health Chiropractic Llc is an health care organization with primary practice located at 209 Dunlawton Ave Ste 18 , Port Orange FL 32127-4458. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Radiant Health Chiropractic Llc can be contacted via phone (386) 308-9076, or through Lavelle, Brandon via phone (386) 308-9076.

Contact Information

Primary practice address
209 Dunlawton Ave Ste 18 Port Orange FL 32127-4458
Phone: (386) 308-9076
Fax: (386) 675-6591
Website:
Map and Directions
Authorized official contact:
Name: Lavelle, Brandon Doctor of Chiropractic (DC)
Phone: (386) 308-9076

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH9993 Florida

Profile Details

NPI number 1184991127
LBN Legal business name Radiant Health Chiropractic Llc
DBA Doing business as
Authorized official Lavelle, Brandon Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2011
Last updated Aug 23rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184991127 NPPES
Florida MEDICAID 007930500

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