Provider Demographics
NPI:1770776098
Name:VERNE, MICHAEL H (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:VERNE
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 1:467 LAKE HOWELL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5922
Mailing Address - Country:US
Mailing Address - Phone:407-657-2225
Mailing Address - Fax:407-671-8855
Practice Address - Street 1:467 LAKE HOWELL RD STE 204
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5922
Practice Address - Country:US
Practice Address - Phone:407-657-2225
Practice Address - Fax:407-671-8855
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor