Healthcare Provider Details

I. General information

NPI: 1932028669
Provider Name (Legal Business Name): INJURY CARE CENTER OF SW FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 CLEVELAND AVE STE 165
FORT MYERS FL
33901-7044
US

IV. Provider business mailing address

3049 CLEVELAND AVE STE 165
FORT MYERS FL
33901-7044
US

V. Phone/Fax

Practice location:
  • Phone: 239-205-1223
  • Fax: 352-269-4114
Mailing address:
  • Phone: 239-205-1223
  • Fax: 352-269-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MUSA ZAHRAN
Title or Position: MANAGER
Credential:
Phone: 239-205-1223