Provider Demographics
NPI:1972799898
Name:ROBERT N SAVAGE DCPA
Entity Type:Organization
Organization Name:ROBERT N SAVAGE DCPA
Other - Org Name:SAVAGE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER /OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-568-9355
Mailing Address - Street 1:18716 E COLONIAL DR
Mailing Address - Street 2:STE 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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty