Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Venice Village Chiropractic Clinic PA

Organization Chiropractor · NPI 1033302492

Venice Village Chiropractic Clinic PA is a Chiropractor 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.

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Practice location Address checks out

4140 Woodmere Park Blvd Ste 2
Venice, FL 34293-2205
Phone: (941) 497-7424
Fax: (941) 493-8413
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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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