Organization
FORT MYERS CHIROPRACTIC & NUTRITION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WAYNE PRICE D.C. (OWNER/PRESIDENT)
(239) 939-3338
Entity
Organization
Contact information
Practice address
1429 COLONIAL BLVD, SUITE 101, FORT MYERS, FL 33907-1067
(239) 939-3338
(239) 939-5821
Mailing address
1429 COLONIAL BLVD, SUITE 101, FORT MYERS, FL 33907-1067
(239) 939-3338
(239) 939-5821
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381118200
—
FL
Enumeration date
06/10/2015
Last updated
08/20/2015
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