MEDICARE: DR. SHANE FRANCIS MCCANN 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	38MC00683500	NJ
2	111N00000X	Chiropractor	CH13697	FL

General Provider Information

NPI Number	:	1922327899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANE FRANCIS MCCANN D.C.

Provider Business Mailing Address
First Line	:	145 HILDEN RD STE 109
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-8401
Country	:	US
Telephone Number	:	904-800-4717
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 HILDEN RD STE 109
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-8401
Country	:	US
Telephone Number	:	904-800-4717
Fax Number	:

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

Provider Enumeration Date	:	05/18/2010
Last Update Date	:	12/27/2024

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