CHIRO & LASER ST. AUGUSTINE, PLLC
NPI 1578204459
Clinic/Center - Health Service in St Augustine, FL

Active since April 05, 2022
1092 S PONCE DE LEON BLVD STE K, ST AUGUSTINE, FL 32084(940) 460-2923 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Chiro & Laser St. Augustine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIRO & LASER ST. AUGUSTINE, PLLC (NPI 1578204459), doing business as Chiro & Laser St. Augustine, is a healthcare organization registered as a health service in St Augustine, Florida and active in the NPI registry since April 2022. The organization lists Jason Palmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1578204459
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCHIRO & LASER ST. AUGUSTINE, PLLC
Location Address1092 S PONCE DE LEON BLVD STE KSt Augustine, FL 32084-6018
Mailing Address1092 S Ponce De Leon Blvd Ste KSt Augustine, FL 32084-6018
Organization SubpartNo
Authorized OfficialJason PalmerOwner · (909) 800-5839
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
NPI 1578204459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1092 S PONCE DE LEON BLVD STE K, St Augustine, FL 32084

Other Names 1

Former Legal Business NameChiro & Laser St. Augustine

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1092 S PONCE DE LEON BLVD STE K
ST AUGUSTINE, FL 32084
Chiropractor
1092 S PONCE DE LEON BLVD STE K
ST AUGUSTINE, FL 32084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chiro & Laser St. Augustine, PLLC's NPI number?

The NPI number for Chiro & Laser St. Augustine, PLLC is 1578204459. It was assigned to this organization in the NPPES registry on April 5, 2022. The provider was formerly known as Chiro & Laser St. Augustine.

Where is Chiro & Laser St. Augustine, PLLC located?

Chiro & Laser St. Augustine, PLLC is located at 1092 S Ponce De Leon Blvd Ste K, St Augustine, FL 32084. The listed phone number is (940) 460-2923.

What is Chiro & Laser St. Augustine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Chiro & Laser St. Augustine, PLLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.