Provider Demographics
NPI:1144461369
Name:SANTANA FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:SANTANA FAMILY CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-448-2222
Mailing Address - Street 1:2646 NARNIA WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7231
Mailing Address - Country:US
Mailing Address - Phone:813-448-2222
Mailing Address - Fax:813-448-3873
Practice Address - Street 1:2646 NARNIA WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7231
Practice Address - Country:US
Practice Address - Phone:813-448-2222
Practice Address - Fax:813-448-3873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty