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Active NPI 1649908047 Organization (Entity Type 2)

Simon Chiropractic Studio Llc

Chiropractor • Bradenton, FL

Public Directory Information & Medical Disclaimer

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About Simon Chiropractic Studio Llc NPI 1649908047 Summary

Simon Chiropractic Studio Llc is a verified healthcare organization specializing in Chiropractor operating in Bradenton, FL. Located at 5715 CORTEZ RD W, this facility provides patient care and medical services under National Provider Identifier (NPI) 1649908047.

Administrative operations and authorized compliance are overseen by Stacy Simon (Chiropractor).

Facility Location & Contact Primary Location

Facility Address

5715 Cortez Rd W

Bradenton, FL 342102702

Telephone 9413454205

Authorized Official Information

Authorized Contact Name

DR. Stacy Simon , DC

Title / Role

Chiropractor

Official Telephone

9413454205

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active August 12, 2022

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2022

Registered at 5715 CORTEZ RD W, BRADENTON, FL 342102702 (Tel: 9413454205)

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Updated Business Mailing Address August 12, 2022

Registered at 6504 CLEMSON ST, BRADENTON, FL 342075622 (Tel: 9415265383)

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Organization / Clinic Name Updated August 12, 2022

Operating as SIMON CHIROPRACTIC STUDIO LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2022

Chiropractor

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Initial NPI Registration & Enumeration August 12, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1649908047

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 12, 2022

Last Update: August 12, 2022

Update or Correct Listing

Mailing Address

6504 Clemson St

Bradenton, FL 342075622

Phone: 9415265383

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.