MEDICARE: ABSOLUTE CHIROPRACTIC PLC

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	CH9212	FL

General Provider Information

NPI Number	:	1760542708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE CHIROPRACTIC PLC

Provider Business Mailing Address
First Line	:	900 6TH AVE S
Second Line	:	SUITE 204
City	:	NAPLES
State	:	FL
Zip	:	34102-6745
Country	:	US
Telephone Number	:	239-262-4476
Fax Number	:	239-262-1006

Provider Business Practice Location Address
First Line	:	900 6TH AVE S
Second Line	:	SUITE 204
City	:	NAPLES
State	:	FL
Zip	:	34102-6745
Country	:	US
Telephone Number	:	239-262-4476
Fax Number	:	239-262-1006

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEVIN SMITH
Credential	:	D.C.
Telephone Number	:	239-659-5662

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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Directions to “ABSOLUTE CHIROPRACTIC PLC ” Practice Location

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