MEDICARE: JOANNE J FAVA 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	111NS0005X	Sports Physician Chiropractor	CH6997	FL

General Provider Information

NPI Number	:	1316035603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE J FAVA DC

Provider Business Mailing Address
First Line	:	1188 JACARANDA BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34292-4501
Country	:	US
Telephone Number	:	941-492-6880
Fax Number	:	941-492-6881

Provider Business Practice Location Address
First Line	:	1188 JACARANDA BLVD
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34292-4501
Country	:	US
Telephone Number	:	941-492-6880
Fax Number	:	941-492-6881

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/09/2008

Similar Medicare Providers

1043217391 — MDK VENTURES LLC
Practice Location Address:

1180 JACARANDA BLVD
VENICE, FL
34292-4501

Practice Phone: 941-497-2273
Practice Fax: 877-497-1030

1598980849 — DR. MICHAEL SARDZINSKI D.M.D.
Practice Location Address:

1172 JACARANDA BLVD
VENICE, FL
34292-4501

Practice Phone: 941-492-3570
Practice Fax: 941-492-3572

1043885718 — JUSTIN LEE NORRIS HAS
Practice Location Address:

1204 JACARANDA BLVD
VENICE, FL
34292-4501

Practice Phone: 941-492-3600
Practice Fax: 941-492-5656

1912715897 — ERIE COUNTY OFFICE OF AUDITOR
Practice Location Address:

4501 VENICE HEIGHTS BLVD RM 17
SANDUSKY, OH
44870-1630

Practice Phone: 419-626-5623
Practice Fax:

1699667329 — ERIE COUNTY OFFICE OF AUDITOR
Practice Location Address:

4501 VENICE HEIGHTS BLVD RM 17
SANDUSKY, OH
44870-1630

Practice Phone: 567-867-5174
Practice Fax:

1801777230 — HEARTFELT FAMILY WELLNESS
Practice Location Address:

13466 BASTIANO ST
VENICE, FL
34293-4501

Practice Phone: 941-441-8277
Practice Fax:

Directions to “ JOANNE J FAVA DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.