=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821012550
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT N SAVAGE D C P A
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2006
-----------------------------------------------------
Last Update Date | 12/07/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18716 E COLONIAL DR SUITE A
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32820-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-568-9355
-----------------------------------------------------
Fax | 407-568-7322
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18716 E COLONIAL DR SUITE A
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32820-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-568-9355
-----------------------------------------------------
Fax | 407-568-7322
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH8934
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------