Healthcare Provider Details

I. General information

NPI: 1205750064
Provider Name (Legal Business Name): PIVOT CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13670 BOGGY CREEK RD STE 100
ORLANDO FL
32824-9235
US

IV. Provider business mailing address

9028 DOWDEN RD APT 315
ORLANDO FL
32827-6807
US

V. Phone/Fax

Practice location:
  • Phone: 787-477-6291
  • Fax:
Mailing address:
  • Phone: 787-477-6291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ALONDRA JUDIETTE MALAVE BRUNO
Title or Position: OWNER
Credential: DC
Phone: 787-477-6291