Healthcare Provider Details

I. General information

NPI: 1952272650
Provider Name (Legal Business Name): ALIGN CHIROPRACTIC SPINE AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9724 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US

IV. Provider business mailing address

9724 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US

V. Phone/Fax

Practice location:
  • Phone: 954-754-5108
  • Fax:
Mailing address:
  • Phone: 954-754-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICK LIBIAN
Title or Position: CEO
Credential: DC, MS
Phone: 561-931-8080