Provider Demographics
NPI:1881883825
Name:HOVERSON, ALLEN C III (DC)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:C
Last Name:HOVERSON
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15275 COLLIER BLVD STE 201
Mailing Address - Street 2:SUITE 261
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6750
Mailing Address - Country:US
Mailing Address - Phone:239-352-2267
Mailing Address - Fax:239-234-6920
Practice Address - Street 1:819 GROVE DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-1422
Practice Address - Country:US
Practice Address - Phone:239-352-2267
Practice Address - Fax:239-234-6920
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor