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INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC NPI 1619946241


NPI Information

NPI: 1619946241
Provider Name: INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC

Doing Business As: ACCIDENT AND INJURY CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
28315 S TAMIAMI TRAIL
SUITE 101
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 947-1177
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INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC is a chiropractor in Bonita Springs, 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. INTEGRATED MEDICAL CENTRE OF BONITA SPRINGS INC NPI is 1619946241. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Accident And Injury Clinic.

The provider's business location address is:

28315 S TAMIAMI TRAIL
SUITE 101
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 947-1177
Fax: (239) 947-6399

The provider's authorized official is Gary L Gendron .
The authorized official title is Owner Clinic Director and has the following contact phone number (239) 947-1177.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 11/20/2012.


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
1171100000XAcupuncturistCH0005870FLORIDANo
2111N00000XChiropractorCH0005999FLORIDAYes

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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