Provider Demographics
NPI:1760542708
Name:ABSOLUTE CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:ABSOLUTE CHIROPRACTIC PLC
Other - Org Name:OPTIMAL HEALTH CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-659-5662
Mailing Address - Street 1:900 6TH AVE S
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6745
Mailing Address - Country:US
Mailing Address - Phone:239-262-4476
Mailing Address - Fax:239-262-1006
Practice Address - Street 1:900 6TH AVE S
Practice Address - Street 2:SUITE 204
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6745
Practice Address - Country:US
Practice Address - Phone:239-262-4476
Practice Address - Fax:239-262-1006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty