MEDICARE: DR. DANA OKEEFE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH11104	FL

General Provider Information

NPI Number	:	1306260914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA OKEEFE D.C.

Provider Business Mailing Address
First Line	:	475 MAITLAND AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5444
Country	:	US
Telephone Number	:	321-444-6750
Fax Number	:	321-444-6755

Provider Business Practice Location Address
First Line	:	475 MAITLAND AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5444
Country	:	US
Telephone Number	:	321-444-6750
Fax Number	:	321-444-6755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	07/23/2021

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