MEDICARE: DR. MARK HAMMOND LOVING

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	CH8004	FL
2	225100000X	Physical Therapist	PT 5764	FL

General Provider Information

NPI Number	:	1982704805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK HAMMOND LOVING

Provider Business Mailing Address
First Line	:	630 SE MONTEREY RD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4410
Country	:	US
Telephone Number	:	772-219-3313
Fax Number	:	772-219-3314

Provider Business Practice Location Address
First Line	:	630 SE MONTEREY RD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4410
Country	:	US
Telephone Number	:	772-219-3313
Fax Number	:	772-219-3314

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	05/19/2008

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