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General NPI Number Information
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NPI Number | 1225343635
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Entity Type | Organization
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Legal Business Name | CAMERON M MCCANE DC PA
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 3037 LANDOVER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34608-7260
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Country | US
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Telephone | 352-686-5122
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Fax | 352-686-6985
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Provider Business Mailing Address
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Address Line | PO BOX 15576
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City | BROOKSVILLE
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State | FL
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Zip | 34604-0120
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Country | US
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Telephone | 352-686-5122
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Fax | 352-686-6985
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAMERON MITCHELL MCCANE
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Credential | D.C.
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Telephone | 352-686-5122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6360
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License Number State | FL
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