Provider Demographics
NPI:1962941732
Name:JOIE DE VIVRE HEALTH AND CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:JOIE DE VIVRE HEALTH AND CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:LLEWELLYN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-230-8711
Mailing Address - Street 1:1350 ORANGE AVE STE 266
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4962
Mailing Address - Country:US
Mailing Address - Phone:407-622-1616
Mailing Address - Fax:407-622-2266
Practice Address - Street 1:1350 ORANGE AVE STE 266
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4962
Practice Address - Country:US
Practice Address - Phone:407-622-1616
Practice Address - Fax:407-622-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 12095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty