Provider Demographics
NPI:1497448427
Name:SANTILLI, CRISTOFER PETER (DC)
Entity Type:Individual
Prefix:
First Name:CRISTOFER
Middle Name:PETER
Last Name:SANTILLI
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 1:209 DUNLAWTON AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-4458
Mailing Address - Country:US
Mailing Address - Phone:386-308-9076
Mailing Address - Fax:386-675-6591
Practice Address - Street 1:209 DUNLAWTON AVE STE 18
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4458
Practice Address - Country:US
Practice Address - Phone:386-308-9076
Practice Address - Fax:386-675-6591
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor