MEDICARE: TROY D YEOMANS 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	CH7943	FL

General Provider Information

NPI Number	:	1730140450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY D YEOMANS D.C

Provider Business Mailing Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	SUITE 200
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-637-8300
Fax Number	:	407-637-8301

Provider Business Practice Location Address
First Line	:	1573 W FAIRBANKS AVE
Second Line	:	SUITE 200
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4679
Country	:	US
Telephone Number	:	407-637-8300
Fax Number	:	407-637-8301

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	02/03/2009

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Directions to “ TROY D YEOMANS D.C” Practice Location

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