Joanne J Fava is a Sports Physician in Venice, Florida. Joanne J Fava practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Joanne J Fava is 1316035603. The last update date is 2008-01-09.
Joanne J Fava's current location address is 1188 Jacaranda Blvd, Venice, Florida. You can contact this provider via phone number 9414926880 and fax number 9414926881. The mailing address for Joanne J Fava is 1188 Jacaranda Blvd, Venice, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne J Fava |
|---|---|
| Address | 1188 Jacaranda Blvd, Venice, Florida |
| Phone Number | 9414926880 |
| Fax Number | 9414926881 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1316035603 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2008-01-09 |
Provider Mailing Address Detail
| Address | 1188 Jacaranda Blvd |
|---|---|
| City | Venice |
| State | Florida (FL) |
| Post Code | 342924501 |
| Phone Number | 9414926880 |
| Fax Number | 9414926881 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH6997 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Joanne J Fava?
The Joanne J Fava has been issued the NPI (National Provider Identifier) 1316035603 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Joanne J Fava is geographically located?
The Joanne J Fava is physically situated at the following location: 1188 Jacaranda Blvd, Venice, FL, 342924501.
When did Joanne J Fava receive its 1316035603 assignment?
The Joanne J Fava was assigned its 1316035603 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316035603 to Joanne J Fava?
The Centers for Medicare & Medicaid Services originally issued the 1316035603 to Joanne J Fava on 2006-10-11.
As of what date were the details pertaining to Joanne J Fava last refreshed?
The information related to the Joanne J Fava, including its address, specialty, and other relevant details, was last updated on 2008-01-09.