Widom Chiropractic Offices Pa

NPI 1558628123 - Chiropractor - 111N00000X

NPI Details
NPI 1558628123
Enumeration Date 04/19/2012
Last Updated 10/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GAVIN JAY GAVIN
Position OWNER
Phone (239) 596-9050
Fax
Practice Location
5385 PARK CENTRAL CT
NAPLES FL, 34109-5932, US
Phone (239) 596-9050
Fax
Business Location
5385 PARK CENTRAL CT
NAPLES FL, 34109-5932, US
Phone (239) 596-9050
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH 6230
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According to our database, Widom Chiropractic Offices Pa NPI is 1558628123, taxonomy code is 111N00000X and license number is CH 6230, license state is located at Florida. Widom Chiropractic Offices Pa physically located at 5385 Park Central Ct, Naples FL, 34109-5932. NPI Number 1033115704 has the healthcare provider type.

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1558628123 NPI number is provided on an as is basis without warranty of any kind. 1558628123 is maintained by the National Plan & Provider Enumeration System. The contents of Widom Chiropractic Offices Pa are for informational purposes only.