Provider Demographics
NPI:1427070556
Name:SASSO, MARCIA C (DC)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:C
Last Name:SASSO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5663 NW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-1531
Mailing Address - Country:US
Mailing Address - Phone:954-974-3456
Mailing Address - Fax:954-974-3568
Practice Address - Street 1:5663 NW 29TH ST
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-1531
Practice Address - Country:US
Practice Address - Phone:954-974-3456
Practice Address - Fax:954-974-3568
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70429Medicare ID - Type Unspecified
FLT-94419Medicare UPIN