Southwest Florida Spine and Joint Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOUTHWEST FLORIDA SPINE AND JOINT INC

Doing business as

Lehigh Accident and Injury

Practice address

25 Homestead Rd N Ste 5
Lehigh Acres, FL 33936-6600

Phone

(239) 579-4444

Fax

(239) 579-4445

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ivan Robert Bracic, DC

Title

President

Phone

(239) 579-4444

Specialties & licenses 1

Addresses

Other names 1

• Lehigh Accident and Injury Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1235800343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HOMESTEAD RD N STE 5",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366600",
            "telephone_number": "239-579-4444",
            "fax_number": "239-579-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOMESTEAD RD N STE 5",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366600",
            "telephone_number": "239-579-4444",
            "fax_number": "239-579-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA SPINE AND JOINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "BRACIC",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-579-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Accident and Injury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.