Provider Demographics
NPI:1356143762
Name:HEALTHY SPINE INSTITUTE FORT MYERS INC.
Entity type:Organization
Organization Name:HEALTHY SPINE INSTITUTE FORT MYERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES GENAO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-984-0640
Mailing Address - Street 1:7050 WINKLER RD STE 114
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-7037
Mailing Address - Country:US
Mailing Address - Phone:239-766-8424
Mailing Address - Fax:
Practice Address - Street 1:7050 WINKLER RD STE 114
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-7037
Practice Address - Country:US
Practice Address - Phone:239-766-8424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty