Individual
DR. BRANDON LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
209 DUNLAWTON AVE STE 18, PORT ORANGE, FL 32127-4458
(386) 308-9076
(386) 675-6591
Mailing address
209 DUNLAWTON AVE STE 18, PORT ORANGE, FL 32127-4458
(386) 308-9076
(386) 675-6591
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007930500
—
FL
05
—
113943300
—
FL
Enumeration date
10/19/2010
Last updated
05/12/2026
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