Provider Demographics
NPI:1467591081
Name:SILBERSTEIN, CRAIG IAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:IAN
Last Name:SILBERSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10882 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2981
Mailing Address - Country:US
Mailing Address - Phone:407-445-1000
Mailing Address - Fax:407-445-1001
Practice Address - Street 1:10882 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2981
Practice Address - Country:US
Practice Address - Phone:407-445-1000
Practice Address - Fax:407-445-1001
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8362111NR0200X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381623100Medicaid
FL70856ZMedicare ID - Type UnspecifiedINDIVIDUAL NUMBER
FLK3659Medicare ID - Type UnspecifiedGROUP NUMBER