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General NPI Number Information
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NPI Number | 1598627184
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Entity Type | Organization
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Legal Business Name | MANGROVE CHIROPRACTIC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 15881 S TAMIAMI TRL STE 5
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City | FORT MYERS
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State | FL
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Zip | 33908-4244
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Country | US
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Telephone | 239-846-4248
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Fax |
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Provider Business Mailing Address
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Address Line | 15881 S TAMIAMI TRL STE 5
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City | FORT MYERS
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State | FL
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Zip | 33908-4244
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Country | US
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Telephone | 239-846-4248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT A ORMSBY III
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Credential | DC
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Telephone | 239-848-2810
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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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