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Organization
ATLAS WELLNESS GROUP LLC
Active
Organization
ATLAS WELLNESS GROUP LLC
Active
Parent organization
GULFSIDE CHIROPRACTIC HEALTH CENTER
Other names
Gulfside Chiropractic - Fort Myers
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULFSIDE CHIROPRACTIC HEALTH CENTER
Authorized official
DR. KIMBERLY ANNE SANBORN DC (CO-OWNER)
(239) 689-8495
Entity
Organization
Contact information
Practice address
9250 COLLEGE PKWY STE 4, FORT MYERS, FL 33919-4847
(239) 689-8495
(239) 308-0124
Mailing address
9250 COLLEGE PKWY STE 4, FORT MYERS, FL 33919-4847
(239) 689-8495
(239) 308-0124
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295268910
PARENT ORGANIZATION NPI
FL
01
—
1336672344
INDIVIDUAL NPI - KIMBERLY SANBORN, DC
FL
Enumeration date
04/29/2021
Last updated
04/29/2021
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