Bonita Spring Chiropractic Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH4496 Issued in FL

Legal business name

BONITA SPRING CHIROPRACTIC ASSOCIATES

Practice address

9200 Bonita Beach Rd SE Ste 206
Bonita Springs, FL 34135-4278

Phone

(239) 676-5240

Fax

(239) 676-5250

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Laz D Rodriguez, DC

Title

Chiropractic Physician Owner

Phone

(239) 676-5240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1609105980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354278",
            "telephone_number": "239-676-5240",
            "fax_number": "239-676-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE STE 206",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354278",
            "telephone_number": "239-676-5240",
            "fax_number": "239-676-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA SPRING CHIROPRACTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAZ",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN OWNER",
        "authorized_official_telephone_number": "239-676-5240",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH4496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita Family Practice LLC
• Bonita Health & Healing Corp
• Bonita Medical Care Center,Inc
• Bonita Palm Dental
• Bonita Palm Dental
• Bonita Springs Chiropractic Corp
• Bonita Springs Edc Management LLC
• Bonita Springs Retirement Village, Inc.
• Bonita Springs Sports & Physical Therapy Center Inc
• Bonita Wellness Center

• Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.