City of Palms Chiropractic LLC
NPI #1083039127 in Fort Myers, Florida
Provider Information
- NPI Number
- 1083039127
- Entity Type
- Organization
- Organization Name
- City of Palms Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 26, 2014
- Last Updated
- Jan 16, 2015
Practice Location
- Address
- 11621 S CLEVELAND AVE
- Address 2
- UNIT 80
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33907-2866
- Phone
- (239) 690-7794
Authorized Official
- Name
- DR. RYAN SCOTT NICKENS, D.C.
- Title
- OWNER/CEO
- Phone
- (321) 615-7998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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