Provider Demographics
NPI:1891211470
Name:CASTRODAD SANTINI, ERIC MANUEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MANUEL
Last Name:CASTRODAD SANTINI
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 1:111 E LAKE MARY BLVD # 115
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-7111
Mailing Address - Country:US
Mailing Address - Phone:407-802-4476
Mailing Address - Fax:407-942-3316
Practice Address - Street 1:820 W LAKE MARY BLVD STE 107
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773
Practice Address - Country:US
Practice Address - Phone:407-942-3258
Practice Address - Fax:407-942-3316
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty