Provider Demographics
NPI:1881851657
Name:FILARDO, ANTHONY V (DC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:V
Last Name:FILARDO
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 1:606 N WYMORE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2862
Mailing Address - Country:US
Mailing Address - Phone:407-622-2251
Mailing Address - Fax:407-622-2253
Practice Address - Street 1:606 N WYMORE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2862
Practice Address - Country:US
Practice Address - Phone:407-622-2251
Practice Address - Fax:407-622-2253
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7546111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL386161100Medicaid
FL386161100Medicaid
FLU80141Medicare UPIN