Organization
FORT MYERS CENTRAL CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA DALE HANSON DC (OWNER)
(239) 931-3565
Entity
Organization
Contact information
Practice address
4575 VIA ROYALE STE 203, FORT MYERS, FL 33919-1018
(239) 931-3565
Mailing address
4575 VIA ROYALE STE 203, FORT MYERS, FL 33919-1018
(239) 931-3565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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