Provider Demographics
NPI:1952520678
Name:SALTALAMACHIA, ELYSE (DC,DABCI)
Entity Type:Individual
Prefix:DR
First Name:ELYSE
Middle Name:
Last Name:SALTALAMACHIA
Suffix:
Gender:F
Credentials:DC,DABCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 MAGUIRE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4719
Mailing Address - Country:US
Mailing Address - Phone:407-877-8707
Mailing Address - Fax:407-877-7464
Practice Address - Street 1:2910 MAGUIRE RD STE 1009
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4742
Practice Address - Country:US
Practice Address - Phone:407-877-8707
Practice Address - Fax:407-877-7464
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH-9136111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL64079OtherBLUE CROSS BLUE SHEILD
FL64079OtherBLUE CROSS BLUE SHEILD
FL64079ZMedicare PIN