MEDICARE: CORRECTIVE SPINAL CARE OF FLORIDA, P.A.

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	:	1598440844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORRECTIVE SPINAL CARE OF FLORIDA, P.A.

Provider Business Mailing Address
First Line	:	11841 PALM BEACH BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5913
Country	:	US
Telephone Number	:	239-689-5687
Fax Number	:	239-237-2154

Provider Business Practice Location Address
First Line	:	11841 PALM BEACH BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-5913
Country	:	US
Telephone Number	:	239-689-5687
Fax Number	:	239-237-2154

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. RICK MEANS II
Credential	:	D.C., P.A.
Telephone Number	:	239-560-9766

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

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