Organization
DR VIVIAN EBERT INC.
Active
Other names
LivingWell Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN D EBERT DC (OWNER)
(239) 498-2225
Entity
Organization
Contact information
Practice address
10020 COCONUT RD., #134, BONITA SPRINGS, FL 34135-8136
(239) 498-2225
(239) 498-0347
Mailing address
10020 COCONUT RD., #134, BONITA SPRINGS, FL 34135-8136
(239) 498-2225
(239) 498-0347
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH0003942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380574300
—
FL
Enumeration date
04/07/2007
Last updated
01/20/2011
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