Provider Demographics
NPI:1508466897
Name:BERLINGERI, THEODORE EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:THEODORE
Middle Name:EDWARD
Last Name:BERLINGERI
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 1:126 9TH AVE NE APT 1
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-1860
Mailing Address - Country:US
Mailing Address - Phone:727-490-8068
Mailing Address - Fax:727-677-9602
Practice Address - Street 1:801 TYRONE BLVD N FL 33701
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-7128
Practice Address - Country:US
Practice Address - Phone:727-490-8068
Practice Address - Fax:727-677-9602
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor