Fort Myers Central Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FORT MYERS CENTRAL CHIROPRACTIC LLC

Practice address

4575 Via Royale Ste 203
Fort Myers, FL 33919-1018

Phone

(239) 931-3565

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Dana Dale Hanson, DC

Title

Owner

Phone

(239) 931-3565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1801352992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 VIA ROYALE STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191018",
            "telephone_number": "239-931-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 VIA ROYALE STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191018",
            "telephone_number": "239-931-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS CENTRAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-931-3565",
        "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 Arminda Fordham, M.D.
• Fiorella Forgey
• Brooke Lyall Foris, PSY.D.
• Ivian Forjans Perez
• Jacquelyn Rae Forsythe, ARNP
• Fort Myers Centre for Facial Plastic and Laser Surgery, Inc.
• Fort Myers Children's Surgery Center, LLC (Southwest Florida Institute of Ambulatory Surgery Inc)
• Fort Myers Chiropractic & Nutrition Center, Inc.
• Fort Myers Chiropractic Studio LLC
• Fort Myers Dental Arts

• 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 Feb 14, 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.