Organization · Type 2 NPI
Healthsource of South Bradenton LLC
Chiropractor · Bradenton, FL
NPI number
1972430072
Active
Practice location
4211 14th Street West
Bradenton, FL 34205
Mailing address
11305 NW 55th Ln
Doral, FL 33178-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: 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.
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About NPI 1972430072
Healthsource of South Bradenton LLC's National Provider Identifier is 1972430072, issued on May 5, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bradenton, FL. The record was last updated on May 5, 2026.