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Dr. Richard G Fenn, DC
Chiropractor in Summerfield, Florida
NPI 1063511350

Richard G Fenn is a Chiropractor based in Port St Lucie, FL. Richard G Fenn practices in Summerfield, FL and has the professional credentials of DC. The NPI Number for Richard G Fenn is 1063511350 and holds a License No. CH5263 (Florida).

The current practice location address for Richard G Fenn is 10935 Se 177Th Pl Ste 106, Summerfield, FL and can be reached out via phone at 561-626-5433 and via fax at 561-626-3371.

Location: 10935 Se 177Th Pl Ste 106, Summerfield, FL, 34952-7699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063511350
Provider Name
Richard G Fenn
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
10935 Se 177Th Pl Ste 106, Summerfield, FL, 34952-7699
Phone Number
561-626-5433
Fax Number
561-626-3371
Provider Enumeration Date
09/22/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77947 01 FL BCBS PIN
institution
Provider Business Practice Location Address Details
Address
10935 Se 177Th Pl Ste 106
City
Summerfield
State
Florida
Zip
34491-8975
Phone Number
561-626-5433
Fax Number
561-626-3371
person
Provider Business Mailing Address Details
Address
10935 Se 177Th Pl Ste 106
City
Summerfield
State
Florida
Zip
34491-8975
Phone Number
561-626-5433
Fax Number
561-626-3371
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH5263 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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