Provider Demographics
NPI:1518111350
Name:BISANTI, EMILIO (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILIO
Middle Name:
Last Name:BISANTI
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 1:2324 S CONGRESS AVE
Mailing Address - Street 2:SUITE# 1D
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7669
Mailing Address - Country:US
Mailing Address - Phone:561-543-5444
Mailing Address - Fax:
Practice Address - Street 1:2324 S CONGRESS AVE
Practice Address - Street 2:SUITE# 1D
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7669
Practice Address - Country:US
Practice Address - Phone:561-543-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9596111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor