Summerlin Ciropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMERLIN CIROPRACTIC, P.A.

Practice address

15880 Summerlin Rd Ste 107
Fort Myers, FL 33908-9614

Phone

(239) 432-0900

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles Daren Fitzpatrick, D.C.NPI 1417986845

Title

President

Phone

(239) 432-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Daren Fitzpatrick, D.C.

  • Chiropractor
  • Fort Myers, FL
  • NPI 1417986845
  NPD (past) Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1972773299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD STE 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089614",
            "telephone_number": "239-432-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15880 SUMMERLIN RD STE 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089614",
            "telephone_number": "239-432-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN CIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-432-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sullivan
• Shahid Sultan, M.D.
• Emily Ann Summa, OTR/L
• Summerlin Anesthesia, Inc.
• Summerlin Bend Surgery Center LLP
• Summerlin Imaging Center LLC
• William Summey, DDS
• Kimberly Sumner
• Stephanie Sump
• Sun Coast Surgical Suites LLC

• 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 Mar 3, 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.