Provider Demographics
NPI:1376810531
Name:SARANTOS CHIROPRACTIC PL
Entity Type:Organization
Organization Name:SARANTOS CHIROPRACTIC PL
Other - Org Name:EAST NAPLES CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-272-0264
Mailing Address - Street 1:12264 TAMIAMI TRL E
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-7942
Mailing Address - Country:US
Mailing Address - Phone:239-417-4001
Mailing Address - Fax:239-352-7770
Practice Address - Street 1:12264 TAMIAMI TRL E
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-7942
Practice Address - Country:US
Practice Address - Phone:239-417-4001
Practice Address - Fax:239-352-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty