Provider Demographics
NPI:1598440844
Name:CORRECTIVE SPINAL CARE OF FLORIDA, P.A.
Entity Type:Organization
Organization Name:CORRECTIVE SPINAL CARE OF FLORIDA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANS II
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PA
Authorized Official - Phone:239-560-9766
Mailing Address - Street 1:11841 PALM BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5913
Mailing Address - Country:US
Mailing Address - Phone:239-689-5687
Mailing Address - Fax:239-237-2154
Practice Address - Street 1:11841 PALM BEACH BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5913
Practice Address - Country:US
Practice Address - Phone:239-689-5687
Practice Address - Fax:239-237-2154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty