Healthcare Provider Details

I. General information

NPI: 1184922288
Provider Name (Legal Business Name): QUALITY CHIROPRACTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

Provider Other Name: QUALITY MEDICAL CARE

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4867 GOLDEN GATE PKWY
NAPLES FL
34116-6953
US

IV. Provider business mailing address

4867 GOLDEN GATE PKWY
NAPLES FL
34116-6953
US

V. Phone/Fax

Practice location:
  • Phone: 239-234-5623
  • Fax: 239-234-5624
Mailing address:
  • Phone: 239-234-5623
  • Fax: 239-234-5624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLOS ALBERTO ADAN
Title or Position: OWNER
Credential:
Phone: 239-234-5623