Provider Demographics
NPI:1285601021
Name:BURDETT, DANIEL PIZIALI (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PIZIALI
Last Name:BURDETT
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 1:108 SPRING VALLEY LOOP
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-6516
Mailing Address - Country:US
Mailing Address - Phone:520-425-4647
Mailing Address - Fax:
Practice Address - Street 1:1685 LEE RD STE 100
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2214
Practice Address - Country:US
Practice Address - Phone:520-425-4647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor