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NPI Code Detail

MEDICARE: DR. CHRISTOPHER MATTHEW VANN D.C.

MEDICARE:  DR. CHRISTOPHER MATTHEW VANN  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
1111N00000XChiropractorCH10812FL

General Provider Information

NPI Number : 1598002313
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER MATTHEW VANN D.C.
Provider Business Mailing Address
First Line : 5833 S GOLDENROD RD STE F
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8777
Country : US
Telephone Number : 407-704-6705
Fax Number : 407-704-6254
Provider Business Practice Location Address
First Line : 5833 S GOLDENROD RD STE F
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8777
Country : US
Telephone Number : 407-704-6705
Fax Number : 407-704-6254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2013
Last Update Date : 04/08/2020

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Directions to “ DR. CHRISTOPHER MATTHEW VANN D.C.” Practice Location

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