Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Venice Village Chiropractic Clinic PA

Organization Chiropractor · NPI 1033302492

Venice Village Chiropractic Clinic PA provides Chiropractor services in Venice, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4140 Woodmere Park Blvd Ste 2
Venice, FL 34293-2205 Not confirmed with CMS for 19 years — call before visiting
Phone: (941) 497-7424
Fax: (941) 493-8413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH7387 (FL)

Record details

NPI number1033302492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Bolen — President Owner · (941) 497-7424
NPI enumeratedAugust 20, 2007
Last updated in NPPESAugust 20, 2007
Mailing address4140 Woodmere Park Blvd, Ste 2, Venice, FL 34293-2205

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