Bayshore Chiropractic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH7405 Issued in FL

Legal business name

BAYSHORE CHIROPRACTIC PA

Practice address

4000 Bayshore Dr
Suite a
Naples, FL 34112-6503

Phone

(239) 417-0010

Fax

(239) 417-0063

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By 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. Dean Ellliot Draluck, D.C.

Title

Owner

Phone

(239) 417-0010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1568640803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BAYSHORE DR",
            "address_2": "SUITE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126503",
            "telephone_number": "239-417-0010",
            "fax_number": "239-417-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BAYSHORE DR",
            "address_2": "SUITE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126503",
            "telephone_number": "239-417-0010",
            "fax_number": "239-417-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "DRALUCK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ELLLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-417-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH7405",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 8, 2008; 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.