Organization
BONITA SPRINGS CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CARL RAFEY D.C. (OWNER)
(513) 253-8362
Entity
Organization
Contact information
Practice address
3440 RENAISSANCE BLVD, SUITE 1, BONITA SPRINGS, FL 34134-7004
(513) 253-8362
Mailing address
23540 VIA VENETO BLVD, #505, BONITA SPRINGS, FL 34134-4923
(513) 253-8362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11000
FL
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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