Provider Demographics
NPI:1447706163
Name:AMIRZADEH, CHRISTOPHER ALI (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALI
Last Name:AMIRZADEH
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 1:152 W SANDALWOOD CT
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1465
Mailing Address - Country:US
Mailing Address - Phone:407-446-0041
Mailing Address - Fax:
Practice Address - Street 1:152 W SANDALWOOD CT
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-1465
Practice Address - Country:US
Practice Address - Phone:407-446-0041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor