Provider Demographics
NPI:1427143742
Name:CARUSO, ANTHONY JOSEPH JR (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:CARUSO
Suffix:JR
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 1:3003 S CONGRESS AVE
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2169
Mailing Address - Country:US
Mailing Address - Phone:561-963-6227
Mailing Address - Fax:561-963-4199
Practice Address - Street 1:3003 S CONGRESS AVE
Practice Address - Street 2:SUITE #2F
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2169
Practice Address - Country:US
Practice Address - Phone:561-963-6227
Practice Address - Fax:561-963-4199
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3815790 00Medicaid
FL55520AMedicare ID - Type Unspecified
FLU93412Medicare UPIN