Provider Demographics
NPI:1891941159
Name:DIMARTINO, GUY S (DC)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:S
Last Name:DIMARTINO
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 1:1009 SW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1229
Mailing Address - Country:US
Mailing Address - Phone:352-351-3413
Mailing Address - Fax:352-629-6667
Practice Address - Street 1:6005 SE US HIGHWAY 301
Practice Address - Street 2:405-A
Practice Address - City:HAWTHORNE
Practice Address - State:FL
Practice Address - Zip Code:32640-7316
Practice Address - Country:US
Practice Address - Phone:352-267-9168
Practice Address - Fax:866-887-3026
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor