Healthcare Provider Details
I. General information
NPI: 1083802482
Provider Name (Legal Business Name): ALFINI CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2007
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
899 E OAK ST STE A
ARCADIA FL
34266-4617
US
IV. Provider business mailing address
899 E OAK ST STE A
ARCADIA FL
34266-4617
US
V. Phone/Fax
- Phone: 863-993-3560
- Fax: 863-993-3572
- Phone: 863-993-3560
- Fax: 863-993-3572
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH7500 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
ROBERT
B
ALFINI
Title or Position: OWNER/OPERATOR
Credential: D.C.
Phone: 863-993-3560