Havlicek Chiropractic Inc
NPI 1720497340ActiveOrganization· Chiropractor· St Augustine, FL
Chiropractor in St Augustine, Florida, registered in NPPES in August 2014. The authorized official on file is Bradley Havlicek, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720497340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2014 |
| Last updated in NPPES | Oct 2, 2020 |
| Certified by provider | Oct 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
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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