Organization
COLONIAL CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE VASCONCELLOS DC (PRESIDENT)
(239) 936-2144
Entity
Organization
Contact information
Practice address
1570 COLONIAL BLVD STE B, FORT MYERS, FL 33907-1031
(239) 936-2144
(239) 936-7276
Mailing address
1570 COLONIAL BLVD STE B, FORT MYERS, FL 33907-1031
(239) 936-2144
(239) 936-7276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
09/18/2019
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