1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Chiropractor
  6. NPI Profile

LARRY FREDRIC RADKE D.C.
NPI 1649481052
Chiropractor in Lake City, FL

Active since May 25, 2007
430 SW COLUMBIA AVE, LAKE CITY, FL 32025(386) 752-2252(386) 754-5088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Fredric Radke D.c. NPPES

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

LARRY FREDRIC RADKE D.C. (NPI 1649481052) is an individual chiropractor in Lake City, Florida, licensed in Florida (CH0002067) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1649481052
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLARRY FREDRIC RADKECredential: D.C.
Location Address430 SW COLUMBIA AVELake City, FL 32025-5254
Mailing Address430 Sw Columbia AveLake City, FL 32025-5254 · (386) 752-2252 · Fax (386) 754-5088
Phone(386) 752-2252
Fax(386) 754-5088
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649481052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH0002067
Definition
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.
430 SW COLUMBIA AVE, Lake City, FL 32025
Open in Google Maps ↗

Other Identifiers 1

Other89714FL · Bluecross Blueshield Prov

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 Larry Radke's NPI number?

The NPI number for Larry Radke is 1649481052. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Larry Radke located?

Larry Radke practices at 430 SW Columbia Ave, Lake City, FL 32025. The listed phone number is (386) 752-2252.

What is Larry Radke's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Larry Radke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.