MEDICARE: DR. JOHN MICHAEL WHITLOW DC

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	13690	FL

General Provider Information

NPI Number	:	1306516430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MICHAEL WHITLOW DC

Provider Business Mailing Address
First Line	:	1033 ROSETREE LN
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-2854
Country	:	US
Telephone Number	:	217-303-6443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1033 ROSETREE LN
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-2854
Country	:	US
Telephone Number	:	217-303-6443
Fax Number	:

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

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/20/2021

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