Pine Island Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8741 Issued in FL

Legal business name

PINE ISLAND CHIROPRACTIC INC

Practice address

5781 Bayshore Road
#103
North Fort Myers, FL 33917

Phone

(239) 282-0255

Fax

(844) 693-2782

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darell Roy Rich, DC

Title

President

Phone

(239) 282-0255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1417143496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5781 BAYSHORE ROAD",
            "address_2": "#103",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33917",
            "telephone_number": "239-282-0255",
            "fax_number": "844-693-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5781 BAYSHORE ROAD",
            "address_2": "#103",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "33917",
            "telephone_number": "239-282-0255",
            "fax_number": "844-693-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE ISLAND CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DARELL",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-282-0255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Pham, DPT
• Tyler Phan, DPT
• Colton Skyler McCready Phelan, BCBA
• Joseph M Philactos, HAS, LPN
• Sara Phillips, CCC-SLP
• Jade A Pinta, RPH
• Jessica Winter Poe, DDS
• Amy Polsinelli
• Dailenis Pompa Lopez
• Pondella Road Opco LLC

• Chiropractor in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.