Provider Demographics
NPI:1821190422
Name:STANGANELLI, ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:STANGANELLI
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 1:3360 E BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-6900
Mailing Address - Country:US
Mailing Address - Phone:727-531-4444
Mailing Address - Fax:727-530-7195
Practice Address - Street 1:3360 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-6900
Practice Address - Country:US
Practice Address - Phone:727-531-4444
Practice Address - Fax:727-530-7195
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV06787Medicare UPIN
FLU6132ZMedicare PIN