Provider Demographics
NPI:1104068592
Name:FINUCAN, PAUL FORREST (DC)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:FORREST
Last Name:FINUCAN
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 1:13240 TAMIAMI TRL N
Mailing Address - Street 2:SUITES 1&2
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1623
Mailing Address - Country:US
Mailing Address - Phone:239-592-7767
Mailing Address - Fax:
Practice Address - Street 1:13240 TAMIAMI TRL N
Practice Address - Street 2:SUITES 1&2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1623
Practice Address - Country:US
Practice Address - Phone:239-592-7767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 0004726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor