| Warner Chiropractic Llc | |
|
11470 S Cleveland Ave Fort Myers FL 33907-2323 | |
| (239) 489-2225 | |
| Not Available |
| Full Name | Warner Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11470 S Cleveland Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Todd Johnson (PRESIDENT) |
| Authorized Official Contact | 2394892225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warner Chiropractic Llc 11470 S Cleveland Ave Fort Myers FL 33907-2323 Ph: (239) 489-2225 | Warner Chiropractic Llc 11470 S Cleveland Ave Fort Myers FL 33907-2323 Ph: (239) 489-2225 |
| NPI Number | 1629233838 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 09/10/2013 |
| Medicare PECOS PAC ID | 3274570551 |
|---|---|
| Medicare Enrollment ID | O20081112000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629233838 | NPI | - | NPPES |
| 380099700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6249 (Florida) | Primary |
| Provider Name | Todd Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053309468 PECOS PAC ID: 8628015906 Enrollment ID: I20050411000128 |
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