Healthcare Provider Details

I. General information

NPI: 1245141118
Provider Name (Legal Business Name): MEAGAN HAFKEMEYER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15205 COLLIER BLVD STE 209
NAPLES FL
34119-6833
US

IV. Provider business mailing address

170 LOGAN BLVD N
NAPLES FL
34119-2500
US

V. Phone/Fax

Practice location:
  • Phone: 239-455-4181
  • Fax:
Mailing address:
  • Phone: 678-763-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number14103
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: