MEDICARE: STRIVE CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1023884251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRIVE CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 150893
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33915-0893
Country	:	US
Telephone Number	:	239-938-6010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 NE 33RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-3301
Country	:	US
Telephone Number	:	239-938-6010
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NICHOLAS LOUGHREN
Credential	:	DC
Telephone Number	:	239-938-6010

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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Directions to “STRIVE CHIROPRACTIC, LLC ” Practice Location

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