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General NPI Number Information
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NPI Number | 1063222503
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Entity Type | Organization
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Legal Business Name | BUKATY FAMILY CHIROPRACTIC OF FL LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 7051 CYPRESS TER STE 106 ROOM 101
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City | FORT MYERS
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State | FL
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Zip | 33907-8801
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Country | US
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Telephone | 716-545-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 21543 BELVEDERE LN
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City | ESTERO
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State | FL
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Zip | 33928-7333
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Country | US
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Telephone | 716-545-5757
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTINA BUKATY
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Credential |
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Telephone | 716-545-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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