Provider Demographics
NPI:1689822611
Name:GINDELE, NATHAN C (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:C
Last Name:GINDELE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 DANI DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-8012
Mailing Address - Country:US
Mailing Address - Phone:239-936-5545
Mailing Address - Fax:239-936-5482
Practice Address - Street 1:7950 DANI DR
Practice Address - Street 2:SUITE 310
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-8012
Practice Address - Country:US
Practice Address - Phone:239-936-5545
Practice Address - Fax:239-936-5482
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor