MEDICARE: JOHN DENNY-LAVERE D.C

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	CH11244	FL

General Provider Information

NPI Number	:	1386059210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DENNY-LAVERE D.C

Provider Business Mailing Address
First Line	:	210 S PINELLAS AVE STE 173
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-3673
Country	:	US
Telephone Number	:	727-934-8368
Fax Number	:	727-934-8368

Provider Business Practice Location Address
First Line	:	210 S PINELLAS AVE STE 273
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-3672
Country	:	US
Telephone Number	:	727-934-8368
Fax Number	:	727-934-8368

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

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	02/27/2018

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