Provider Demographics
NPI:1780695619
Name:TERRANOVA, JOSEPH ANTHONY (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:TERRANOVA
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 1:1850 N ALAFAYA TRL STE 1-B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4745
Mailing Address - Country:US
Mailing Address - Phone:407-658-8595
Mailing Address - Fax:407-658-8573
Practice Address - Street 1:1850 N ALAFAYA TRL STE 1-B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4745
Practice Address - Country:US
Practice Address - Phone:407-658-8595
Practice Address - Fax:407-658-8573
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8764111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor