Organization Name: | BONITA SPRING CHIROPRACTIC ASSOCIATES |
NPI Number: | 1609105980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAZ D RODRIGUEZ (CHIROPRACTIC PHYSICIAN OWNER) |
Mailing Address: | 9200 Bonita Beach Rd Se Ste 206 Bonita Springs |
State: | FL US |
Postal Code: | 341354278 |
Phone Number: | 2396765240 |
Fax Number: | 2396765250 |
NPI Enumeration Date: | 12/15/2009 |
NPI Last Update Date: | 12/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | CH4496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |