Provider Demographics
NPI:1518923127
Name:GINDELE, CRAIG PATRICK (DC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:PATRICK
Last Name:GINDELE
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 1:8190 LITTLETON RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903
Mailing Address - Country:US
Mailing Address - Phone:239-997-8200
Mailing Address - Fax:239-997-8332
Practice Address - Street 1:8190 LITTLETON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903
Practice Address - Country:US
Practice Address - Phone:239-997-8200
Practice Address - Fax:239-997-8332
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T55875Medicare UPIN
FL88543ZMedicare ID - Type Unspecified