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NPI Code Detail

MEDICARE: GULF COAST CHIROPRACTIC PA

MEDICARE: GULF COAST CHIROPRACTIC PA
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
1111N00000XChiropractorCH000S779FL

General Provider Information

NPI Number : 1912074055
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST CHIROPRACTIC PA
Provider Business Mailing Address
First Line : 6900 DANIELS PARKWAY
Second Line : STE 32
City : FORT MYERS
State : FL
Zip : 33912-1587
Country : US
Telephone Number : 239-768-3005
Fax Number : 239-768-3868
Provider Business Practice Location Address
First Line : 6900 DANIELS PARKWAY
Second Line : STE 32
City : FORT MYERS
State : FL
Zip : 33912-1587
Country : US
Telephone Number : 239-768-3005
Fax Number : 239-768-3868
Authorized Official
Title or Position : PRESIDENT OWNER
Name : MR. WILLIAM J GAROFOLO JR.
Credential : DC
Telephone Number : 239-768-3005
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/22/2020

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Directions to “GULF COAST CHIROPRACTIC PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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