Healthcare Provider Details

I. General information

NPI: 1629108923
Provider Name (Legal Business Name): CRAIG M SATINOFF DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8994 TAFT STREET
PEMBROKE PINES FL
33024-4668
US

IV. Provider business mailing address

8994 TAFT STREET
PEMBROKE PINES FL
33024-4668
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-7607
  • Fax: 954-435-8958
Mailing address:
  • Phone: 954-436-7607
  • Fax: 954-435-8958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0005164
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: