Provider Demographics
NPI:1437028776
Name:MARIN, VERONICA MICHELLE (DC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:MICHELLE
Last Name:MARIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E BAYSHORE DR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-6401
Mailing Address - Country:US
Mailing Address - Phone:386-333-0122
Mailing Address - Fax:
Practice Address - Street 1:7 E BAYSHORE DR
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-6401
Practice Address - Country:US
Practice Address - Phone:386-333-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty