MEDICARE: DR. NOAH RIMES DD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14767	FL

General Provider Information

NPI Number	:	1306611892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOAH RIMES DD

Provider Business Mailing Address
First Line	:	11841 PALM BEACH BLVD UNIT 111
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11841 PALM BEACH BLVD UNIT 111
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5914
Country	:	US
Telephone Number	:	239-689-5687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2023
Last Update Date	:	11/15/2023

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