Provider Demographics
NPI:1790832335
Name:ENGLANT, FLOYD L (D C)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:L
Last Name:ENGLANT
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 HOSMER ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-2740
Mailing Address - Country:US
Mailing Address - Phone:619-464-6781
Mailing Address - Fax:619-697-5819
Practice Address - Street 1:566 HOSMER ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2740
Practice Address - Country:US
Practice Address - Phone:619-464-6781
Practice Address - Fax:619-697-5819
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC11898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAYYY49332YMedicaid
CAWDC11898BMedicare ID - Type Unspecified
CAT04542Medicare UPIN