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NPI Code Detail

MEDICARE: GULF COAST MUA PHYSICIANS, LLC

MEDICARE: GULF COAST MUA PHYSICIANS, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1699621060
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST MUA PHYSICIANS, LLC
Provider Business Mailing Address
First Line : 2125 SE 18TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-4707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2125 SE 18TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-4707
Country : US
Telephone Number : 913-948-1328
Fax Number :
Authorized Official
Title or Position : OWNER/DC
Name : JOSEPH R CONIGLIARO
Credential : DC, FACMUAP
Telephone Number : 913-948-1328
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “GULF COAST MUA PHYSICIANS, LLC ” Practice Location

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