Provider Demographics
NPI:1760343313
Name:CHIRO NOMAD OF THE VILLAGES
Entity type:Organization
Organization Name:CHIRO NOMAD OF THE VILLAGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-654-4456
Mailing Address - Street 1:1575 S SR 15A STE 300
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-7810
Mailing Address - Country:US
Mailing Address - Phone:386-951-9200
Mailing Address - Fax:386-279-0200
Practice Address - Street 1:13940 N US HIGHWAY 441 STE 205
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-8909
Practice Address - Country:US
Practice Address - Phone:386-951-9200
Practice Address - Fax:386-279-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty