Provider Demographics
NPI:1841461241
Name:DYNAMIC CARE, INC.
Entity type:Organization
Organization Name:DYNAMIC CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMION
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOPERFITO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-331-4325
Mailing Address - Street 1:609 MAITLAND AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6840
Mailing Address - Country:US
Mailing Address - Phone:407-331-4325
Mailing Address - Fax:407-260-1619
Practice Address - Street 1:609 MAITLAND AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6840
Practice Address - Country:US
Practice Address - Phone:407-331-4325
Practice Address - Fax:407-260-1619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55527ZMedicare PIN