Provider Demographics
NPI:1083780068
Name:SCALIA, JOSEPH JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:SCALIA
Suffix:JR
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 1:2901 RIVERSIDE DR
Mailing Address - Street 2:UNIT 204
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5538
Mailing Address - Country:US
Mailing Address - Phone:561-305-2611
Mailing Address - Fax:954-796-3534
Practice Address - Street 1:5772 WILES RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2156
Practice Address - Country:US
Practice Address - Phone:954-796-2611
Practice Address - Fax:954-796-3534
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3017259OtherAETNA
FL70019OtherBLUE CROSS BLUE SHIELD
FL44-02474OtherUNITED HEALTHCARE
FLE4770YMedicare PIN