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Individual

DR. GREGG G FAVEREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10910 STATE ROAD 70 E STE 101, LAKEWOOD RANCH, FL 34202-8406
(941) 749-7207
(941) 799-2077
Mailing address
10910 STATE ROAD 70 E STE 101, LAKEWOOD RANCH, FL 34202-8406
(941) 799-7207
(941) 799-2077

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 9446
FL

Other

Enumeration date
01/19/2008
Last updated
01/19/2022
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