Individual
BROOKE NICHOLE IWANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
9101 W COLLEGE POINTE DR STE 1, FORT MYERS, FL 33919-3390
(239) 208-0088
Mailing address
9101 W COLLEGE POINTE DR STE 1, FORT MYERS, FL 33919-3390
(239) 208-0088
(239) 288-0804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193652102
—
FL
Enumeration date
04/25/2012
Last updated
06/15/2020
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