Healthcare Provider Details

I. General information

NPI: 1366810871
Provider Name (Legal Business Name): KEVIN CHRISTOPHER-ALLEN LATONA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 NITTANY RD
WEEKI WACHEE FL
34613-5320
US

IV. Provider business mailing address

8140 NITTANY RD
WEEKI WACHEE FL
34613-5320
US

V. Phone/Fax

Practice location:
  • Phone: 904-240-8522
  • Fax:
Mailing address:
  • Phone: 904-240-8522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: