Provider Demographics
NPI:1306366224
Name:CINTRON, CAITLIN ELISE SULLIVAN (DC)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:ELISE SULLIVAN
Last Name:CINTRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:ELISE
Other - Last Name:SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2150 PALM HARBOR BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5363
Mailing Address - Country:US
Mailing Address - Phone:727-241-9095
Mailing Address - Fax:727-245-8880
Practice Address - Street 1:2150 PALM HARBOR BLVD STE B
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-5363
Practice Address - Country:US
Practice Address - Phone:727-241-9095
Practice Address - Fax:727-245-8880
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor