Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Lake Chiropractic & Medical Center, Inc

Organization General Practice Physician · NPI 1811495617

East Lake Chiropractic & Medical Center, Inc is a General Practice Physician in Saint Cloud, Florida. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4028 13th St
Saint Cloud, FL 34769-6773
Phone: (407) 957-9995
Fax: (407) 957-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4028 13th St, Saint Cloud, FL 34769-6773 — (407) 957-9995

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1811495617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher McNichols — Owner · (407) 957-9995
NPI enumeratedJanuary 26, 2018
Last updated in NPPESMarch 17, 2018
Mailing address4028 13th St, Saint Cloud, FL 34769-6773

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