Provider Demographics
NPI:1801946199
Name:ANGELINI, SAVERIO J (DC)
Entity type:Individual
Prefix:
First Name:SAVERIO
Middle Name:J
Last Name:ANGELINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SAVERIO
Other - Middle Name:JOSEPH
Other - Last Name:ANGELINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5400 N FEDERAL HWY
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3201
Mailing Address - Country:US
Mailing Address - Phone:954-202-9709
Mailing Address - Fax:954-202-9778
Practice Address - Street 1:5400 N FEDERAL HWY
Practice Address - Street 2:SUITE # 103
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3201
Practice Address - Country:US
Practice Address - Phone:954-202-9709
Practice Address - Fax:954-202-9778
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22245Medicare ID - Type UnspecifiedCHIROPRACTIC
FLT84317Medicare UPIN