MEDICARE: DR. JOHN ANTHONY TERRANOVA 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	CH0005914	FL

General Provider Information

NPI Number	:	1407819675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ANTHONY TERRANOVA D.C.

Provider Business Mailing Address
First Line	:	13882 COLUMBINE AVE
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-8150
Country	:	US
Telephone Number	:	561-798-3809
Fax Number	:

Provider Business Practice Location Address
First Line	:	7362 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2529
Country	:	US
Telephone Number	:	561-964-9331
Fax Number	:	561-966-5098

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	08/26/2008

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