Healthcare Provider Details

I. General information

NPI: 1730438680
Provider Name (Legal Business Name): JOSHUA A HALL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 MORENO AVE
FORT MYERS FL
33901-6836
US

IV. Provider business mailing address

1521 MORENO AVE
FORT MYERS FL
33901-6836
US

V. Phone/Fax

Practice location:
  • Phone: 239-292-1876
  • Fax:
Mailing address:
  • Phone: 239-292-1876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: