Med Quad Spine Center

NPI #1386314482 in Fort Myers, Florida

Provider Information

NPI Number: 1386314482
Entity Type: Organization
Organization Name: Med Quad Spine Center
Subpart: Yes (part of a larger organization)
Parent Organization: CONCIERGE MEDICAL SVC II INC
Primary Specialty: Chiropractor
Enumeration Date: Sep 20, 2021
Last Updated: Sep 20, 2021

Practice Location

Address: 4125 CLEVELAND AVE STE 1870
City: Fort Myers
State: Florida
ZIP Code: 33901-9064
Phone: (239) 400-0956

Authorized Official

Name: HOLLY SCHISANI, DO
Title: MEDICAL DIRECTOR
Phone: (561) 482-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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