Provider Demographics
NPI:1720092976
Name:DIDONATO, LOUIS FRANCIS (DC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:FRANCIS
Last Name:DIDONATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:L
Other - Middle Name:F
Other - Last Name:DIDONATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1200 S PINELLAS AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3728
Mailing Address - Country:US
Mailing Address - Phone:727-934-5604
Mailing Address - Fax:727-938-1873
Practice Address - Street 1:1200 S PINELLAS AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-3728
Practice Address - Country:US
Practice Address - Phone:727-934-5604
Practice Address - Fax:727-938-1873
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2519111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380692800Medicaid
FL89936Medicare ID - Type Unspecified
FLT56390Medicare UPIN