Provider Demographics
NPI:1740296300
Name:SPARGO, DAVID CHARLES II (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHARLES
Last Name:SPARGO
Suffix:II
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 1:13310 PALOMA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4796
Mailing Address - Country:US
Mailing Address - Phone:407-240-2210
Mailing Address - Fax:407-240-2210
Practice Address - Street 1:8070 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-7670
Practice Address - Country:US
Practice Address - Phone:407-854-9000
Practice Address - Fax:407-854-9001
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7949111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician