Provider Demographics
NPI:1962109579
Name:INFINTY CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:INFINTY CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-989-7725
Mailing Address - Street 1:PO BOX 360234
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32936-0234
Mailing Address - Country:US
Mailing Address - Phone:321-989-7725
Mailing Address - Fax:321-255-3005
Practice Address - Street 1:1300 PINETREE DR STE 5
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4428
Practice Address - Country:US
Practice Address - Phone:321-989-7725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty