Healthcare Provider Details

I. General information

NPI: 1770643488
Provider Name (Legal Business Name): ARTHUR ANTHONY LABELLA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 HIGHLAND AVE
VERO BEACH FL
32960-3662
US

IV. Provider business mailing address

1599 HIGHLAND AVENUE
VERO BEACH FL
32960
US

V. Phone/Fax

Practice location:
  • Phone: 772-562-4002
  • Fax: 772-562-4855
Mailing address:
  • Phone: 772-562-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2124
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: