Southwest Spine And Sport, Inc.

LBN: Southwest Spine And Sport, Inc.
Southwest Spine And Sport, Inc. is an health care organization with primary practice located at 1722 Del Prado Blvd S Ste 4 , Cape Coral FL 33990-5522. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Southwest Spine And Sport, Inc. can be contacted via phone (239) 772-8888, or through Warde, Keith Q via phone (239) 772-8888.

Contact Information

Primary practice address
1722 Del Prado Blvd S Ste 4 Cape Coral FL 33990-5522
Phone: (239) 772-8888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warde, Keith Q Doctor of Chiropractic (DC)
Phone: (239) 772-8888

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Florida

Profile Details

NPI number 1316153661
LBN Legal business name Southwest Spine And Sport, Inc.
DBA Doing business as
Authorized official Warde, Keith Q Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316153661 NPPES
Florida Other 70007 BLUE CROSS BLUE SHIELD

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