Healthcare Provider Details

I. General information

NPI: 1801865829
Provider Name (Legal Business Name): CHARLES BRADY ARNSPERGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8233 COOPER CREEK BLVD
UNIVERSITY PARK FL
34201-2009
US

IV. Provider business mailing address

5245 UNIVERSITY PKWY UNIT 101
UNIVERSITY PARK FL
34201-3011
US

V. Phone/Fax

Practice location:
  • Phone: 941-360-2220
  • Fax: 941-360-2229
Mailing address:
  • Phone: 941-360-2220
  • Fax: 941-360-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7921
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2044
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: