Provider Demographics
NPI:1194843037
Name:DIGIAMMO, ANTHONY PATRICK (DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:PATRICK
Last Name:DIGIAMMO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1883 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-1944
Mailing Address - Country:US
Mailing Address - Phone:727-937-6740
Mailing Address - Fax:727-942-3701
Practice Address - Street 1:1883 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-1944
Practice Address - Country:US
Practice Address - Phone:727-937-6740
Practice Address - Fax:727-942-3701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U65544Medicare UPIN
55550BMedicare ID - Type Unspecified