Individual
DIEGO FERNANDO JATIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
535 S CHICKASAW TRL, ORLANDO, FL 32825-7801
(407) 277-1031
(407) 277-5556
Mailing address
2467 E SEMORAN BLVD, APOPKA, FL 32703-5806
(407) 814-0985
(407) 814-0119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109233
AMERIGROUP
FL
01
—
197020
CHIRO ALLIANCE CORP.
FL
05
—
381779200
—
FL
01
—
53968
BLUE CROSS BLUE SHIELD
FL
01
—
7443014
AETNA
FL
01
—
9705808
CIGNA
FL
Enumeration date
12/15/2006
Last updated
03/27/2014
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