Colonial Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COLONIAL CHIROPRACTIC, INC

Practice address

1570 Colonial Blvd Ste B
Fort Myers, FL 33907-1031

Phone

(239) 936-2144

Fax

(239) 936-7276

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jose Vasconcellos, DC

Title

President

Phone

(239) 936-2144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1770139933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 COLONIAL BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071031",
            "telephone_number": "239-936-2144",
            "fax_number": "239-936-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 COLONIAL BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071031",
            "telephone_number": "239-936-2144",
            "fax_number": "239-936-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "VASCONCELLOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-936-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Colombo
• Richaris Sulianys Colon Rivera
• Patricia Colon-Garcia, MD
• Jeffrey E Colon, MD
• Colonia Medical Specialty Group
• Colonial Hearing Centers, Inc
• Colonial Outpatient Surgery Center, LLC
• Colonial Post Rehab Center
• Colonial Rehab Center
• Colonial Rehab Center Inc

• 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 Sep 18, 2019; 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.