MEDICARE: DR. JOHN G FLORENDO 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	BO1239	NV

General Provider Information

NPI Number	:	1649444597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN G FLORENDO D.C.

Provider Business Mailing Address
First Line	:	6141 SOUTH RAINBOW BLVD
Second Line	:	SUITE 115
City	:	LAS VEGAS
State	:	NV
Zip	:	89118
Country	:	US
Telephone Number	:	702-357-1595
Fax Number	:

Provider Business Practice Location Address
First Line	:	6141 S RAINBOW BLVD
Second Line	:	SUITE 115
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3261
Country	:	US
Telephone Number	:	702-357-1595
Fax Number	:	702-920-6555

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

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	09/25/2008

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Directions to “ DR. JOHN G FLORENDO D.C.” Practice Location

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