Organization Active NPI

Arc of Life Family Spinal Care LLC

  • Health Service Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1427484252
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
10720 Issued in FL
Legal business name
ARC OF LIFE FAMILY SPINAL CARE LLC
Practice address
26731 Dublin Woods Cir
Ste 2
Bonita Springs, FL 34135-7271
Phone
(239) 200-7248
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Drew-Montez Clark, D.C.
Title
Ceo
Phone
(239) 887-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 10720 FL Primary

Addresses

Primary practice location

26731 Dublin Woods Cir
Ste 2
Bonita Springs, FL 34135-7271

Mailing address

26731 Dublin Woods Cir
Ste 2
Bonita Springs, FL 34135-7271
Phone (239) 200-7248

National Provider Directory

National Provider Directory

Locations

26731 Dublin Woods Cir
Ste 2
Bonita Springs, FL 34135
Phone (239) 200-7248

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1427484252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR",
            "address_2": "STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271",
            "telephone_number": "239-200-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 DUBLIN WOODS CIR",
            "address_2": "STE 2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357271",
            "telephone_number": "239-200-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF LIFE FAMILY SPINAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DREW-MONTEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-887-2648",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "10720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.