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MED QUAD SPINE CENTER NPI 1386314482


NPI Information

NPI: 1386314482
Provider Name: MED QUAD SPINE CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4125 CLEVELAND AVE STE 1870
FORT MYERS, FL
ZIP 33901
Phone: (239) 400-0956
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MED QUAD SPINE CENTER is a chiropractor in Fort Myers, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MED QUAD SPINE CENTER NPI is 1386314482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4125 CLEVELAND AVE STE 1870
FORT MYERS, FL
ZIP 33901-064
Phone: (239) 400-0956
Fax: (239) 400-0109

The provider's authorized official is Holly Schisani .
The authorized official title is Medical Director and has the following contact phone number (561) 482-1144.

The enumeration date for this NPI number is 9/20/2021 and was last updated on 9/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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