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Organization
TEACHOUT CHIROPRACTIC & WELLNESS CENTER PA
Active
Organization
TEACHOUT CHIROPRACTIC & WELLNESS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TEACHOUT (VICE PRESIDENT)
(239) 466-5656
Entity
Organization
Contact information
Practice address
16521 SAN CARLOS BLVD STE 220, FORT MYERS, FL 33908-5245
(239) 466-5656
(239) 466-1102
Mailing address
16521 SAN CARLOS BLVD STE 220, FORT MYERS, FL 33908-5245
(239) 466-5656
(239) 466-1102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 12025
FL
111N00000X
Chiropractor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4ZZ2M
FLORIDA BLUE
—
01
—
RWAIE
FLORIDA BLUE
FL
Enumeration date
12/09/2016
Last updated
11/07/2022
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