Healthcare Provider Details

I. General information

NPI: 1528337169
Provider Name (Legal Business Name): PREZIOSI WEST EAST ORLANDO CHIROPRACTIC CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 08/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7206 CURRY FORD RD
ORLANDO FL
32822-5806
US

IV. Provider business mailing address

7206 CURRY FORD RD
ORLANDO FL
32822
US

V. Phone/Fax

Practice location:
  • Phone: 407-293-1259
  • Fax: 407-293-1789
Mailing address:
  • Phone: 407-293-1259
  • Fax: 407-293-1789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberCH004352
License Number StateFL

VIII. Authorized Official

Name: DR. VINCENT A PREZIOSI
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 407-269-1259