Organization
DFCW LLC
Active
Other names
DFCW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E DAVIS III DC (OWNER)
(239) 482-8686
Entity
Organization
Contact information
Practice address
6700 WINKLER RD STE 3, FORT MYERS, FL 33919-7235
(239) 482-8686
Mailing address
6700 WINKLER RD STE 3, FORT MYERS, FL 33919-7235
(239) 482-8686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69003
BCBS
FL
01
—
U6068A
MEDICARE ID
FL
Enumeration date
02/12/2014
Last updated
02/12/2014
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