Healthcare Provider Details

I. General information

NPI: 1538379003
Provider Name (Legal Business Name): ALLIANCE CHIROPRACTIC GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2356 W OAKRIDGE RD
ORLANDO FL
32809
US

IV. Provider business mailing address

2356 WEST OAKRIDGE ROAD
ORLANDO FL
32809
US

V. Phone/Fax

Practice location:
  • Phone: 407-857-7223
  • Fax: 407-857-7553
Mailing address:
  • Phone: 407-857-7223
  • Fax: 407-857-7553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ADNER DHAITI
Title or Position: OWNER PRESIDENT
Credential:
Phone: 407-857-7223