Organization
CITY OF PALMS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT NICKENS D.C. (OWNER/CEO)
(321) 615-7998
Entity
Organization
Contact information
Practice address
11621 S CLEVELAND AVE, UNIT 80, FORT MYERS, FL 33907-2866
(239) 690-7794
Mailing address
11621 S CLEVELAND AVE, UNIT 80, FORT MYERS, FL 33907-2866
(239) 690-7794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10966
FL
Other
Enumeration date
02/26/2014
Last updated
01/16/2015
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