Healthcare Provider Details

I. General information

NPI: 1285842849
Provider Name (Legal Business Name): FAMILY CHIROPRACTIC WORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10882 W COLONIAL DR
OCOEE FL
34761-2981
US

IV. Provider business mailing address

10882 W COLONIAL DR
OCOEE FL
34761-2981
US

V. Phone/Fax

Practice location:
  • Phone: 407-654-2575
  • Fax: 407-654-6027
Mailing address:
  • Phone: 407-654-2575
  • Fax: 407-654-6027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8362
License Number StateFL

VIII. Authorized Official

Name: DR. CRAIG IAN SILBERSTEIN
Title or Position: OWNER
Credential: D.C.
Phone: 407-654-2575