| Organization Name: | CHIROPRACTIC HEALTH OF SOUTHWEST FLORIDA INC |
| NPI Number: | 1568614352 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS A MERLO (PRESIDENT/OWNER) |
| Mailing Address: | 24830 S Tamiami Trl Suite 1000 Bonita Springs |
| State: | FL US |
| Postal Code: | 341347032 |
| Phone Number: | 2399483280 |
| Fax Number: | 2399483282 |
| NPI Enumeration Date: | 10/13/2008 |
| NPI Last Update Date: | 05/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-19904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |