Provider Demographics
NPI:1871612481
Name:SPIRELLI, DEAN ANTHONY (DC)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:ANTHONY
Last Name:SPIRELLI
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 1:4974 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5300
Mailing Address - Country:US
Mailing Address - Phone:954-972-2255
Mailing Address - Fax:954-968-3352
Practice Address - Street 1:4974 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5300
Practice Address - Country:US
Practice Address - Phone:954-972-2255
Practice Address - Fax:954-968-3352
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55188OtherBCBS
FL55188Medicare ID - Type Unspecified
FL55188OtherBCBS