MEDICARE: PETER V FRANCIS 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	CH14372	FL

General Provider Information

NPI Number	:	1619682192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER V FRANCIS DC

Provider Business Mailing Address
First Line	:	5968 SHADY CREEK LN
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7271 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-5066
Country	:	US
Telephone Number	:	352-691-5170
Fax Number	:

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

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	01/18/2023

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