Immokalee Chiropractic Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH-7675 Issued in FL

Legal business name

IMMOKALEE CHIROPRACTIC CENTER INC

Practice address

13260 Immokalee Rd Ste 2
Naples, FL 34120-1788

Phone

(239) 297-7737

Fax

(239) 303-1839

NPI assigned

Feb 11, 2010

Organization subpart

No

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

Authorized official

Name

Mary Ann Zawada, DC

Title

President Owner

Phone

(239) 297-7737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1255663548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201788",
            "telephone_number": "239-297-7737",
            "fax_number": "239-303-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341201788",
            "telephone_number": "239-297-7737",
            "fax_number": "239-303-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMOKALEE CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "ZAWADA",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "239-297-7737",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH-7675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR LICENSE",
            "identifier": "CH-7675",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.