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ESTERO FAMILY CHIROPRACTIC LLC
NPI 1679826705
Chiropractor in Estero, FL

Active since October 26, 2012
21740 S TAMIAMI TRL STE 103, ESTERO, FL 33928(815) 252-9783 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Estero Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESTERO FAMILY CHIROPRACTIC LLC (NPI 1679826705) is a healthcare organization registered as a chiropractor in Estero, Florida and active in the NPI registry since October 2012. The organization lists Lawrence Clifford Wallen, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1679826705
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameESTERO FAMILY CHIROPRACTIC LLC
Location Address21740 S TAMIAMI TRL STE 103Estero, FL 33928-2819
Mailing Address21740 S Tamiami Trl Ste 103Estero, FL 33928-2819
Phone(815) 252-9783
Organization SubpartNo
Authorized OfficialLawrence Clifford WallenOwner/chiropractor · (815) 252-9783
Enumeration DateOctober 26, 2012
Last NPPES UpdateOctober 25, 2016
✔ NPI 1679826705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10733
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21740 S TAMIAMI TRL STE 103, Estero, FL 33928
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Other Identifiers 1

Medicare UPINGX440AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EFTHIMIOS T PERISTERIDIS D.C.
Chiropractor
21740 S TAMIAMI TRL STE 103
ESTERO, FL 33928
Lee County (239) 676-9116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Estero Family Chiropractic LLC's NPI number?

The NPI number for Estero Family Chiropractic LLC is 1679826705. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Estero Family Chiropractic LLC located?

Estero Family Chiropractic LLC is located at 21740 S Tamiami Trl Ste 103, Estero, FL 33928. The listed phone number is (815) 252-9783.

What is Estero Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Estero Family Chiropractic LLC was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.