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General NPI Number Information
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NPI Number | 1932028669
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Entity Type | Organization
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Legal Business Name | INJURY CARE CENTER OF SW FLORIDA
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 3049 CLEVELAND AVE STE 165
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City | FORT MYERS
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State | FL
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Zip | 33901-7044
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Country | US
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Telephone | 239-205-1223
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Fax | 352-269-4114
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Provider Business Mailing Address
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Address Line | 3049 CLEVELAND AVE STE 165
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City | FORT MYERS
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State | FL
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Zip | 33901-7044
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Country | US
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Telephone | 239-205-1223
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Fax | 352-269-4114
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Authorized Official
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Title or Position | MANAGER
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Name | LIANNY JIMENEZ
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Credential |
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Telephone | 813-270-6205
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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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