EVANS CHIROPRACTIC LLC (NPI# 1093944985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093944985 |
Entity Type | Organization |
Organization Name | EVANS CHIROPRACTIC LLC |
Practice Address |
3632 Evans Ave Fort Myers FL 33901-8314 |
Mailing Address |
1910 Nw 120th Ter Pembroke Pines FL 33026-1944 |
Practice Telephone | 2392757246 |
Mailing Telephone | 9544417100 |
Enumeration Date | 2009-07-13 |
Last Update Date | 2009-07-13 |
Authorized Official Name | DR. RICHARD BLUM (OWNER) |
Authorized Official Telephone | 9544417100 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
CH6210 | FL | Ambulatory Health Care Facilities |
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
CH6210 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 380104700 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Evans Chiropractic LLC | 8061 Shaffer Pkwy, Littleton, CO 80127 |
Street Address |
3632 EVANS AVE |
City | FORT MYERS |
State | FL |
Zip Code | 33901-8314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
Find all providers in zip 33901 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1942741228 | Healthcare and Therapy Services Corp | Clinic/Center | 12995 S Cleveland Ave Ste 157, Fort Myers, FL 33907-3867 | 2017-03-20 |
1558870394 | Integrated Health Solutions Clinics, LLC | Clinic/Center | 4350 Fowler St Ste 1b, Fort Myers, FL 33901-2616 | 2017-09-25 |
1639503899 | Sanibel Wellness | Clinic/Center | 16680 Mcgregor Blvd Ste 2, Fort Myers, FL 33908-3826 | 2013-08-23 |
1447516844 | Health & Harmony Center | Clinic/Center | 15951 Mcgregor Blvd, Fort Myers, FL 33908-2552 | 2012-04-10 |
1750656781 | Region Medical Center, Inc | Clinic/Center | 3900 Broadway, Bldg A Unit 1, Fort Myers, FL 33901-8193 | 2012-03-08 |
1588829667 | Dr Christopher T Westland Pa | Clinic/Center | 8931 Conference Dr, Suite #3, Fort Myers, FL 33919-4893 | 2008-07-28 |
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Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33901 |
Please comment or provide details below to improve the information on EVANS CHIROPRACTIC LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.