MEDICARE: GINDELE CHIROPRACTIC PA

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

General Provider Information

NPI Number	:	1366699258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GINDELE CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	1560 MATTHEW DR
Second Line	:	SUITE I
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-936-5545
Fax Number	:	239-936-5482

Provider Business Practice Location Address
First Line	:	1560 MATTHEW DR
Second Line	:	SUITE I
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-936-5545
Fax Number	:	239-936-5482

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NATHAN C GINDELE
Credential	:	D.C.
Telephone Number	:	239-229-4331

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	01/24/2010

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Directions to “GINDELE CHIROPRACTIC PA ” Practice Location

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