Provider Demographics
NPI:1174799175
Name:VICTOR J DROBNIC D.C. P.A.
Entity type:Organization
Organization Name:VICTOR J DROBNIC D.C. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:DROBNIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC PA
Authorized Official - Phone:239-936-2911
Mailing Address - Street 1:1646 COLONIAL BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:239-936-2911
Mailing Address - Fax:239-936-2811
Practice Address - Street 1:1646 COLONIAL BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:239-936-2911
Practice Address - Fax:239-936-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH003546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3702OtherMEDICARE GROUP
FLK3702OtherMEDICARE GROUP
FL88652ZMedicare PIN