Healthcare Provider Details

I. General information

NPI: 1790893063
Provider Name (Legal Business Name): RICK ALLAN MEANS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PONDELLA RD
N FT MYERS FL
33903-3846
US

IV. Provider business mailing address

11982 ROYAL TEE CIR
CAPE CORAL FL
33991-7547
US

V. Phone/Fax

Practice location:
  • Phone: 239-997-5007
  • Fax: 239-997-2285
Mailing address:
  • Phone: 239-283-8863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0004621
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: