Healthcare Provider Details

I. General information

NPI: 1982891412
Provider Name (Legal Business Name): ALLIANCE HEALTH AND INJURY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2007
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7809 W COMMERCIAL BLVD
TAMARAC FL
33351-4382
US

IV. Provider business mailing address

7809 W COMMERCIAL BLVD
TAMARAC FL
33351-4382
US

V. Phone/Fax

Practice location:
  • Phone: 954-718-0390
  • Fax: 954-388-9554
Mailing address:
  • Phone: 954-718-0390
  • Fax: 954-388-9554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 8192
License Number StateFL

VIII. Authorized Official

Name: STEPHEN R. BROOKS JR.
Title or Position: PRESIDENT
Credential:
Phone: 954-718-0390