Healthcare Provider Details

I. General information

NPI: 1780802470
Provider Name (Legal Business Name): JOSEPH VINCENT D'ANNA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 EDINBURGH DRIVE SUITE # 4
WINTER PARK FL
32792
US

IV. Provider business mailing address

225 EDINBURGH DR
WINTER PARK FL
32792-4110
US

V. Phone/Fax

Practice location:
  • Phone: 321-460-4429
  • Fax:
Mailing address:
  • Phone: 321-460-4429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9267
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: