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Organization
THE INJURY CLINIC OF FT MYERS LLC
Active
Organization
THE INJURY CLINIC OF FT MYERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACY BLOOM DC (CHIROPRACTOR)
(239) 689-8488
Entity
Organization
Contact information
Practice address
12640 WORLD PLAZA LN, FORT MYERS, FL 33907-3987
(239) 689-8488
(239) 243-8149
Mailing address
9858 CLINT MOORE RD # C111-274, BOCA RATON, FL 33496-1034
(561) 482-1144
(561) 482-1145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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