Immokalee Pain & Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11148 Issued in FL

Legal business name

IMMOKALEE PAIN & REHAB INC

Practice address

550 New Market Rd E
Suite 1
Immokalee, FL 34142-3439

Phone

(239) 658-5047

Fax

(239) 658-5063

NPI assigned

Dec 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David Clay Adamson, DC

Title

Owner/President

Phone

(253) 221-7123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1821496910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341330550",
            "telephone_number": "239-221-7123",
            "fax_number": "239-221-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEW MARKET RD E",
            "address_2": "SUITE 1",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341423439",
            "telephone_number": "239-658-5047",
            "fax_number": "239-658-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMOKALEE PAIN & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "ADAMSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "253-221-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Hernandez Rodriguez, PSY.D
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• Immokalee Family Doctor'S Clinic, LLC
• Elvia Divina Jimenez Ciriaco
• Kelley Purvis Johnson, D.M.D.
• Kenya S Jones
• Lodz Michaelle Jules
• Michael Kane

• Chiropractor in Immokalee, FL
• Providers in Immokalee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.