Provider Demographics
NPI:1578748935
Name:SAINZ, CRAIG ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ANTHONY
Last Name:SAINZ
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 1:4131 NW 28TH LN STE 3B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6665
Mailing Address - Country:US
Mailing Address - Phone:352-225-3203
Mailing Address - Fax:
Practice Address - Street 1:4131 NW 28TH LN STE 3B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6665
Practice Address - Country:US
Practice Address - Phone:352-225-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382294000Medicaid
FLAK673ZOtherMEDICARE PTAN
FLAK673ZOtherMEDICARE PTAN