Provider Demographics
NPI:1861739567
Name:FRANCES ADDEO, D.C.
Entity type:Organization
Organization Name:FRANCES ADDEO, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:(NONE)
Authorized Official - Last Name:ADDEO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:321-622-4583
Mailing Address - Street 1:PO BOX 361291
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32936-1291
Mailing Address - Country:US
Mailing Address - Phone:321-622-4583
Mailing Address - Fax:
Practice Address - Street 1:2020 HWY A1A
Practice Address - Street 2:104
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3581
Practice Address - Country:US
Practice Address - Phone:321-622-4583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7544111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55716OtherBLUE CROSS BLUE SHIELD FLORIDA
AZNSF37843OtherBLUE CROSS BLUE SHIELD OF ARIZONA
AZZ62189Medicare UPIN