Provider Demographics
NPI:1407678576
Name:CHAKALOS, SPYRIDON ZACHARY (DC)
Entity type:Individual
Prefix:DR
First Name:SPYRIDON
Middle Name:ZACHARY
Last Name:CHAKALOS
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 1:2983 SEA OATS CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5939
Mailing Address - Country:US
Mailing Address - Phone:540-229-7005
Mailing Address - Fax:
Practice Address - Street 1:2983 SEA OATS CIR
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32118-5939
Practice Address - Country:US
Practice Address - Phone:540-229-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15128111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor