FORT CAROLINE CLINIC OF CHIROPRACTIC
NPI 1104497361
Chiropractor in Jacksonville, FL
NPI Status: Active since July 08, 2021
Contact Information
12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 902-4325
- Organization
- Chiropractor
- CLIA Number: 10D2203510
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-03-2026
About FORT CAROLINE CLINIC OF CHIROPRACTIC
This page provides the complete NPI Profile along with additional information for Fort Caroline Clinic Of Chiropractic, a provider established in Jacksonville, Florida operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1104497361 assigned on July 2021. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeremy Brubaker D.c (Member)
- NPI
- 1104497361
- Provider Name
- FORT CAROLINE CLINIC OF CHIROPRACTIC
- Entity Type
- Organization
- Location Address
- 12086 FORT CAROLINE RD STE 302 JACKSONVILLE, FL 32225
- Location Phone
- (904) 902-4325
- Mailing Address
- 14097 PINE ISLAND DR JACKSONVILLE, FL 32224
- Mailing Phone
- (814) 590-4411
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-08-2021
- Last Update Date
- 08-21-2021
- Code Navigator
A chiropractor like Fort Caroline Clinic Of Chiropractic helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2203510
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 04, 2024
- Certificate Expiration Date
- December 03, 2026
- Laboratory Director
- DANIEL CANO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fort Caroline Clinic Of Chiropractic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104497361, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
JACKSONVILLE, FL 32225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104497361, enumerated as an "organization" on July 08, 2021.
The provider is located at 12086 FORT CAROLINE RD STE 302 JACKSONVILLE, FL 32225 and the phone number is (904) 902-4325.
Chiropractor with taxonomy code 111N00000X.
