Provider Demographics
NPI:1285378117
Name:SANANDAJIAN, MICHAEL DAVID (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DAVID
Last Name:SANANDAJIAN
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 1:969 SE FEDERAL HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3716
Mailing Address - Country:US
Mailing Address - Phone:772-600-8858
Mailing Address - Fax:772-600-8898
Practice Address - Street 1:969 SE FEDERAL HWY STE 300
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3716
Practice Address - Country:US
Practice Address - Phone:772-600-8858
Practice Address - Fax:772-600-8898
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4816111N00000X
FL14829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor