MEDICARE: TREVON YOUMAN 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	CH12999	FL

General Provider Information

NPI Number	:	1679111371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVON YOUMAN DC

Provider Business Mailing Address
First Line	:	11211 PROSPERITY FARMS RD STE B104
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3453
Country	:	US
Telephone Number	:	561-537-4526
Fax Number	:

Provider Business Practice Location Address
First Line	:	4723 W ATLANTIC AVE STE 19
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3865
Country	:	US
Telephone Number	:	561-277-2369
Fax Number	:

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

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	12/13/2019

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Directions to “ TREVON YOUMAN DC” Practice Location

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