Provider Demographics
NPI:1588800387
Name:ADAMCIK, MARIJO DANEE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIJO
Middle Name:DANEE
Last Name:ADAMCIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 BRANDY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3633
Mailing Address - Country:US
Mailing Address - Phone:386-290-8726
Mailing Address - Fax:
Practice Address - Street 1:286 BRANDY HILLS DR
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-3633
Practice Address - Country:US
Practice Address - Phone:386-290-8726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-29
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor