Healthcare Provider Details

I. General information

NPI: 1225419922
Provider Name (Legal Business Name): ALIGNED INTEGRATIVE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 N. ORCHARD STREET SUITE 3
ORMOND BEACH FL
32174-5114
US

IV. Provider business mailing address

136 N. ORCHARD STREET SUITE 3
ORMOND BEACH FL
32174-5114
US

V. Phone/Fax

Practice location:
  • Phone: 386-310-8096
  • Fax: 386-866-0292
Mailing address:
  • Phone: 386-310-8096
  • Fax: 386-866-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEVEN MICHAEL ROSMAN
Title or Position: MANAGER
Credential: DC
Phone: 386-310-8096