Provider Demographics
NPI:1518012384
Name:FISHER, CRAIG GARRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:GARRETT
Last Name:FISHER
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 1:13710 SW 84TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4040
Mailing Address - Country:US
Mailing Address - Phone:305-385-7200
Mailing Address - Fax:305-380-7532
Practice Address - Street 1:13710 SW 84TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4040
Practice Address - Country:US
Practice Address - Phone:305-385-7200
Practice Address - Fax:305-380-7532
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor