Organization
FIRST SOUTHWEST MEDICAL REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H IVEY D.C. (OWNER)
(239) 243-8925
Entity
Organization
Contact information
Practice address
3900 BROADWAY, SUITE D10, FORT MYERS, FL 33901-8193
(239) 243-8925
(239) 245-8954
Mailing address
PO BOX 61766, FORT MYERS, FL 33906-1766
(239) 243-8925
(239) 245-8954
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9765
FL
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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