Fanney Spine And Rehab, P.A.
Chiropractor in Lake City, FL. Organization (NPI-2).
NPI number1891031282
StatusActive
Last updated in NPPESDec 12, 2012
Details
- NPI
- 1891031282
- Entity type
- Organization (NPI-2)
- Legal business name
- Fanney Spine And Rehab, P.A.
- Organization subpart
- No
- Enumeration date
- Dec 12, 2012
- Last updated
- Dec 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH10331 | FL | Yes |
Practice location
4241 Nw American LnLake City, FL 32055-4881
Phone 407-616-1982
Mailing address
504 Carolina AvePlant City, FL 33563-7010
Phone 407-616-1982
Authorized official
Daryn Fanney
Director
4076161982
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