Organization
DR. BROOKE IWANSKI DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE IWANSKI DC (OWNER)
(407) 791-4172
Entity
Organization
Contact information
Practice address
1791 BOY SCOUT DR STE 6, FORT MYERS, FL 33907-2137
(239) 332-2555
(239) 332-2556
Mailing address
1791 BOY SCOUT DR STE 6, FORT MYERS, FL 33907-2137
(239) 332-2555
(239) 332-2556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007632300
—
FL
Enumeration date
11/27/2017
Last updated
11/27/2017
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