Provider Demographics
NPI:1730378746
Name:CARNOL HEALTH SERVICES
Entity type:Organization
Organization Name:CARNOL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-751-5351
Mailing Address - Street 1:1715 BERGLUND LN STE 104
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6230
Mailing Address - Country:US
Mailing Address - Phone:321-751-5351
Mailing Address - Fax:321-751-5370
Practice Address - Street 1:1715 BERGLUND LN STE 104
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-6230
Practice Address - Country:US
Practice Address - Phone:321-751-5351
Practice Address - Fax:321-751-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34990Medicare PIN