Joanne J Fava
Chiropractic Sports Physician
1188 Jacaranda Blvd
Venice
, Florida 34292-4501
Joanne J Fava
Chiropractic Sports Physician
1188 Jacaranda Blvd
Venice
, Florida 34292-4501
(941) 492-6881
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Joanne J Fava
- 1188 Jacaranda Blvd
- Venice, FL
- Zip : 34292-4501
- Fax : (941) 492-6881
- Phone : (941) 492-6880
Second Address
- Joanne J Fava
- 1188 Jacaranda Blvd
- Venice, FL
- Zip : 34292-4501
- Fax : (941) 492-6881
- Phone : (941) 492-6880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | CH6997 | FL |
National Provider Identifier
| NPI | 1316035603 |
|---|---|
| Provider Name | Joanne J Fava |
| First Address | Venice, FL 34292-4501 |
| Second Address | Venice, FL 34292-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 09/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.