Provider Demographics
NPI:1801865829
Name:ARNSPERGER, CHARLES BRADY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:BRADY
Last Name:ARNSPERGER
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 1:5245 UNIVERSITY PKWY
Mailing Address - Street 2:UNIT 101
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34201-3011
Mailing Address - Country:US
Mailing Address - Phone:941-360-2220
Mailing Address - Fax:941-360-2229
Practice Address - Street 1:8233 COOPER CREEK BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:FL
Practice Address - Zip Code:34201-2009
Practice Address - Country:US
Practice Address - Phone:941-360-2220
Practice Address - Fax:941-360-2229
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7921111N00000X
FLAP2044171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381741500Medicaid
FLK5375Medicare ID - Type Unspecified
FLE5314AMedicare UPIN