Provider Demographics
NPI:1093199309
Name:DR. CHRISTINA L SAJGO DC LLC
Entity Type:Organization
Organization Name:DR. CHRISTINA L SAJGO DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-258-9800
Mailing Address - Street 1:569 HEALTH BLVD
Mailing Address - Street 2:SUITE B & C
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1498
Mailing Address - Country:US
Mailing Address - Phone:386-258-9800
Mailing Address - Fax:386-238-0092
Practice Address - Street 1:569 HEALTH BLVD
Practice Address - Street 2:SUITE B & C
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1498
Practice Address - Country:US
Practice Address - Phone:386-258-9800
Practice Address - Fax:386-238-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty