Organization
FANNEY SPINE AND REHAB, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYN FANNEY D.C. (DIRECTOR)
(407) 616-1982
Entity
Organization
Contact information
Practice address
4241 NW AMERICAN LN, LAKE CITY, FL 32055-4881
(407) 616-1982
Mailing address
504 CAROLINA AVE, PLANT CITY, FL 33563-7010
(407) 616-1982
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10331
FL
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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