Provider Demographics
NPI:1558116608
Name:CASILLAS ALGARIN, EDUARDO J (DC)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:J
Last Name:CASILLAS ALGARIN
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 1:730 LEXINGTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1019
Mailing Address - Country:US
Mailing Address - Phone:407-323-9994
Mailing Address - Fax:
Practice Address - Street 1:730 LEXINGTON GREEN LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1019
Practice Address - Country:US
Practice Address - Phone:407-323-9994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14932111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor