Provider Demographics
NPI:1609833045
Name:FUREY, PAUL CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHRISTOPHER
Last Name:FUREY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 SUMMERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5109
Mailing Address - Country:US
Mailing Address - Phone:407-681-9256
Mailing Address - Fax:
Practice Address - Street 1:2487 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2542
Practice Address - Country:US
Practice Address - Phone:407-677-8989
Practice Address - Fax:407-677-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22264OtherBLUE CROSS/BLUE SHIELD
FL22264OtherBLUE CROSS/BLUE SHIELD
T94039Medicare UPIN