MEDICARE: DR. SHANE EVERETT PARSON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8350	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH8350	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1336120799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANE EVERETT PARSON DC

Provider Business Mailing Address
First Line	:	10716 CHESHAM HILL CT
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-7701
Country	:	US
Telephone Number	:	813-410-6325
Fax Number	:

Provider Business Practice Location Address
First Line	:	13134 VAIL RIDGE DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-7187
Country	:	US
Telephone Number	:	813-488-6315
Fax Number	:	813-488-6329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	06/18/2025

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Directions to “ DR. SHANE EVERETT PARSON DC” Practice Location

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