Provider Demographics
NPI:1316081656
Name:SPRINGER, ERIC (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:SPRINGER
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 1:4200 4TH ST N
Mailing Address - Street 2:SUITE A
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-4735
Mailing Address - Country:US
Mailing Address - Phone:727-521-0236
Mailing Address - Fax:727-521-0237
Practice Address - Street 1:4200 4TH ST N
Practice Address - Street 2:SUITE A
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-4735
Practice Address - Country:US
Practice Address - Phone:727-521-0236
Practice Address - Fax:727-521-0237
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89761OtherBLUE CROSS BLUE SHIELD
FLV01957Medicare UPIN
FL89761Medicare ID - Type Unspecified