Provider Demographics
NPI:1245412451
Name:RICHARD A SALADINO
Entity Type:Organization
Organization Name:RICHARD A SALADINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-741-8900
Mailing Address - Street 1:11009 GATEWOOD DR
Mailing Address - Street 2:#103
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4941
Mailing Address - Country:US
Mailing Address - Phone:941-741-8900
Mailing Address - Fax:941-741-8990
Practice Address - Street 1:11009 GATEWOOD DR
Practice Address - Street 2:#103
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211
Practice Address - Country:US
Practice Address - Phone:941-741-8900
Practice Address - Fax:941-741-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5845261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU3816788Medicaid
FL22284Medicare PIN
GU3816788Medicaid