Organization
FORT MYERS INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RAY SITNER (MGR)
(239) 275-4853
Entity
Organization
Contact information
Practice address
8140 COLLEGE PKWY, SUITE 201, FORT MYERS, FL 33919-5188
(239) 275-4853
Mailing address
4731 W ATLANTIC AVE, SUITE B 21, DELRAY BEACH, FL 33445-3897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9021
FL
Other
Enumeration date
02/22/2008
Last updated
12/09/2010
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