Provider Demographics
NPI:1164768883
Name:SAUNDERS, MINEAUX ALEXANDRIA (DC)
Entity Type:Individual
Prefix:
First Name:MINEAUX
Middle Name:ALEXANDRIA
Last Name:SAUNDERS
Suffix:
Gender:F
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:PO BOX 771116
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32877-1116
Mailing Address - Country:US
Mailing Address - Phone:850-284-2283
Mailing Address - Fax:
Practice Address - Street 1:6388 SILVER STAR RD
Practice Address - Street 2:SUITE #E1
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3235
Practice Address - Country:US
Practice Address - Phone:321-332-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-27
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor