BONITA SPRING CHIROPRACTIC ASSOCIATES NPI 1609105980

NPI Information

  • NPI: 1609105980
  • Provider Name: BONITA SPRING CHIROPRACTIC ASSOCIATES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2215409
  • Address: 9200 BONITA BEACH RD SE STE 206
    BONITA SPRINGS, FL
    ZIP 34135
  • Phone: (239) 676-5240

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NPI Details

BONITA SPRING CHIROPRACTIC ASSOCIATES is a clinic center in Bonita Springs, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BONITA SPRING CHIROPRACTIC ASSOCIATES NPI is 1609105980. The provider is registered as an organization entity type.

The provider's business location address is:

9200 BONITA BEACH RD SE STE 206
BONITA SPRINGS, FL
ZIP 34135-278
Phone: (239) 676-5240
Fax: (239) 676-5250

The provider's authorized official is Laz D Rodriguez .
The authorized official title is Chiropractic Physician Owner and has the following contact phone number (239) 676-5240.

The CLIA number assigned to this NPI record is 10D2215409 - other - fire department with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2009 and was last updated on 12/15/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterCH4496FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T84437MEDICARE UPINFLORIDA
2AC032ZMEDICARE PINFLORIDA

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: 11/21/2025

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