Dr. Jesse Lee Angle II, DC
Chiropractor in Fort Myers, FL. Individual provider (NPI-1).
NPI number1982933412
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1982933412
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jesse Lee Angle II
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2009
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | Ch11021 | FL | Yes |
| 111N00000X | Chiropractor | DC0000002345 | TN | |
| 111N00000X | Chiropractor | 0104557279 | VA |
Practice location
12651 McGregor BlvdFort Myers, FL 33919-4467
Phone 239-243-8810 · Fax 239-243-8804
Mailing address
12651 McGregor BlvdFort Myers, FL 33919-4467
Phone 239-243-8810 · Fax 239-243-8804
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