Provider Demographics
NPI:1821012550
Name:SAVAGE, ROBERT N (D C P A)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:N
Last Name:SAVAGE
Suffix:
Gender:M
Credentials:D C P A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18716 E COLONIAL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-3003
Mailing Address - Country:US
Mailing Address - Phone:407-568-9355
Mailing Address - Fax:407-568-7322
Practice Address - Street 1:18716 E COLONIAL DR
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-3003
Practice Address - Country:US
Practice Address - Phone:407-568-9355
Practice Address - Fax:407-568-7322
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor