South Florida Rehab & Spa

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8464 Issued in FL

Legal business name

SOUTH FLORIDA REHAB & SPA

Practice address

3940 Metro Pkwy
Suite 105
Fort Myers, FL 33916-9485

Phone

(239) 936-9936

Fax

(239) 936-9937

NPI assigned

Apr 10, 2008

Last updated

Apr 10, 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. Andrew Andonov, DC,MS, FABCS

Title

President

Phone

(239) 936-9936

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1740453745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 METRO PKWY",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169485",
            "telephone_number": "239-936-9936",
            "fax_number": "239-936-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 METRO PKWY",
            "address_2": "SUITE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169485",
            "telephone_number": "239-936-9936",
            "fax_number": "239-936-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA REHAB & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "ANDONOV",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-9936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,MS, FABCS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Myers, FL
• Providers in 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 Apr 10, 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.