Full Bloom Chiropractic Corp
NPI 1144460726ActiveOrganization· Chiropractor· St Augustine, FL
Chiropractor in St Augustine, Florida, registered in NPPES in February 2009. The authorized official on file is Ryan Gutierrez, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144460726 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2009 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1696 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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