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NPI Code Detail

MEDICARE: DR. MARK CLINTON MEANS D.C.

MEDICARE: DR. MARK CLINTON MEANS D.C.
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
1111N00000XChiropractorCH0004247FL

General Provider Information

NPI Number : 1902817760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK CLINTON MEANS D.C.
Provider Business Mailing Address
First Line : 2101 CLUB HOUSE RD
Second Line :
City : N FT MYERS
State : FL
Zip : 33917-2521
Country : US
Telephone Number : 239-543-3006
Fax Number :
Provider Business Practice Location Address
First Line : 150 PONDELLA RD
Second Line :
City : N FT MYERS
State : FL
Zip : 33903-3846
Country : US
Telephone Number : 239-997-5007
Fax Number : 239-997-2285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARK CLINTON MEANS D.C.” Practice Location

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