Organization
GIFFORD CHIROPRACTIC & NEURODIAGNOSTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A GIFFORD (PRESIDENT & CEO)
(239) 455-3822
Entity
Organization
Contact information
Practice address
4930 GOLDEN GATE PKWY., NAPLES, FL 34116
(239) 455-3822
(239) 455-0891
Mailing address
4930 GOLDEN GATE PKWY., NAPLES, FL 34116
(239) 455-3822
(239) 455-0891
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH6154
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3804526-00
—
FL
Enumeration date
10/22/2010
Last updated
10/22/2010
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