MEDICARE: DR. JOHNATHAN WILLIAM EDWARDS D.C.

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	CH10431	FL

General Provider Information

NPI Number	:	1407026826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHNATHAN WILLIAM EDWARDS D.C.

Provider Business Mailing Address
First Line	:	3779 N ALPINE RD
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61114-4807
Country	:	US
Telephone Number	:	815-633-9115
Fax Number	:	815-633-8745

Provider Business Practice Location Address
First Line	:	9720 COMMERCE CENTER CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3606
Country	:	US
Telephone Number	:	239-549-6262
Fax Number	:

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

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	04/03/2024

Similar Medicare Providers

1730742545 — SARAH MARIE SCHOOLER MSN, BSN, RN, IBCLC
Practice Location Address:

9720 COMMERCE CENTER CT
FORT MYERS, FL
33908-3606

Practice Phone: 813-291-4695
Practice Fax:

1043987712 — THRIVE LACTATION CENTER
Practice Location Address:

9720 COMMERCE CENTER CT STE A1
FORT MYERS, FL
33908-3606

Practice Phone: 813-291-4695
Practice Fax:

1487336665 — PALMERCARE CHIROPRACTIC FORT MYERS LLC
Practice Location Address:

9720 COMMERCE CENTER CT
FORT MYERS, FL
33908-3606

Practice Phone: 239-549-6262
Practice Fax:

1831192046 — H WILLIAM RANELLE DO
Practice Location Address:

5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606

Practice Phone: 817-732-5593
Practice Fax: 817-732-5499

1427030139 — DR. ANN RANELLE DO
Practice Location Address:

5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606

Practice Phone: 817-732-5593
Practice Fax: 817-342-0388

1356386791 — MRS. KACY HUFFMAN PATE O.D.
Practice Location Address:

5000 COLLINWOOD AVE
FORT WORTH, TX
76107-3606

Practice Phone: 817-732-5593
Practice Fax:

Directions to “ DR. JOHNATHAN WILLIAM EDWARDS D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.