Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Trace Chiropractic and Massage Center PA

Organization Chiropractor · NPI 1790005569

Southern Trace Chiropractic and Massage Center PA provides Chiropractor services in The Villages, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11834 County Road 101 Ste 202
The Villages, FL 32162-9340 Not confirmed with CMS for 11 years — call before visiting
Phone: (352) 205-8500
Fax: (352) 205-8603
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH 7914 (FL)

Record details

NPI number1790005569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Zielecki — Pres · (352) 205-8500
NPI enumeratedJune 3, 2010
Last updated in NPPESOctober 30, 2014
Mailing addressPo Box 507, Belleview, FL 34421-0507

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