Healthcare Provider Details

I. General information

NPI: 1245714666
Provider Name (Legal Business Name): ALLEGIANT HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 HYPOLUXO RD
LAKE WORTH FL
33463-7534
US

IV. Provider business mailing address

4640 HYPOLUXO RD
LAKE WORTH FL
33463-7534
US

V. Phone/Fax

Practice location:
  • Phone: 954-913-5789
  • Fax:
Mailing address:
  • Phone: 954-913-5789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MIGUEL ANGEL MONTERO
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 954-913-5789