Healthcare Provider Details

I. General information

NPI: 1386358265
Provider Name (Legal Business Name): PAUL ANTHONY HOVANETZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2967 BEE RIDGE RD UNIT 4
SARASOTA FL
34239-7113
US

IV. Provider business mailing address

3634 LALANI BLVD
SARASOTA FL
34232-5526
US

V. Phone/Fax

Practice location:
  • Phone: 941-284-5938
  • Fax:
Mailing address:
  • Phone: 941-284-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number13517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: