Healthcare Provider Details

I. General information

NPI: 1598807331
Provider Name (Legal Business Name): LABELLE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 BRYAN AVE
LABELLE FL
33935-4647
US

IV. Provider business mailing address

45 BRYAN AVE
LABELLE FL
33935-4647
US

V. Phone/Fax

Practice location:
  • Phone: 863-675-3427
  • Fax: 863-675-3809
Mailing address:
  • Phone: 863-675-3427
  • Fax: 863-675-3809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH3602
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME80423
License Number StateFL

VIII. Authorized Official

Name: MR. KYLE M STUDLEY
Title or Position: DOCTOR
Credential: D.C
Phone: 863-675-3427