Organization Active NPI

Fort Myers Injury Center LLC

  • Chiropractor
  • Fort Myers, FL
National Provider Identifier
1457520512
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9021 Issued in FL
Legal business name
FORT MYERS INJURY CENTER LLC
Practice address
8140 College Pkwy
Suite 201
Fort Myers, FL 33919-5188
Phone
(239) 275-4853
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Robert Ray Sitner
Title
MGR
Phone
(239) 275-4853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9021 FL Primary

Addresses

Primary practice location

8140 College Pkwy
Suite 201
Fort Myers, FL 33919-5188

Mailing address

4731 W Atlantic Ave
Suite B 21
Delray Beach, FL 33445-3897

National Provider Directory

National Provider Directory

Locations

8140 College Pkwy
Ste 201
Fort Myers, FL 33919
Phone (239) 275-4853

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1457520512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE",
            "address_2": "SUITE B 21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195188",
            "telephone_number": "239-275-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "SITNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "239-275-4853"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.