Provider Demographics
NPI:1790837680
Name:LOPERFITO, DAMION S (DC)
Entity Type:Individual
Prefix:DR
First Name:DAMION
Middle Name:S
Last Name:LOPERFITO
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 1:609 MAITLAND AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6840
Mailing Address - Country:US
Mailing Address - Phone:407-260-0636
Mailing Address - Fax:407-260-1619
Practice Address - Street 1:609 MAITLAND AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6840
Practice Address - Country:US
Practice Address - Phone:407-260-0636
Practice Address - Fax:407-260-1619
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55527OtherBCBS
FLCH7286OtherLICENSE NUMBER
FLU86082Medicare UPIN
FL55527OtherBCBS