BONITA BEACH CHIROPRACTIC LLC NPI 1851813745

NPI Information

BONITA BEACH CHIROPRACTIC, LLC 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. BONITA BEACH CHIROPRACTIC, LLC NPI is 1851813745. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11100 BONITA BEACH RD SE STE 107B
BONITA SPRINGS, FL
ZIP 34135-701
Phone: (314) 919-7399

The provider's authorized official is Annie Ray .
The authorized official title is Manager and has the following contact phone number (239) 992-6643.

The CLIA number assigned to this NPI record is 10D2227566 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 3/9/2018.

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:

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