Organization
IMAC MANAGEMENT OF FLORIDA, LLC
Active
Organization
IMAC MANAGEMENT OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ERVIN CEO (CHIEF EXECUTIVE OFFICER)
(615) 889-0024
Entity
Organization
Contact information
Practice address
24830 S TAMIAMI TRL STE 1000, BONITA SPRINGS, FL 34134-7031
(239) 948-3280
(239) 236-1719
Mailing address
1605 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8396
(615) 889-0024
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7358
STATE CHIROPRACTIC LICENSE
FL
Enumeration date
01/15/2020
Last updated
01/15/2020
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