Provider Demographics
NPI:1558639088
Name:DILEO, TODD C (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:C
Last Name:DILEO
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 1:26634 SHOREGRASS DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7728
Mailing Address - Country:US
Mailing Address - Phone:813-785-8685
Mailing Address - Fax:
Practice Address - Street 1:26634 SHOREGRASS DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7728
Practice Address - Country:US
Practice Address - Phone:813-785-8685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor