Healthcare Provider Details
I. General information
NPI: 1467114330
Provider Name (Legal Business Name): ALTERNATIVE CHIROPRACTIC SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2021
Last Update Date: 10/08/2021
Certification Date: 10/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1511 BUENOS AIRES BLVD STE A
THE VILLAGES FL
32159-8974
US
IV. Provider business mailing address
5484 SW 30TH AVE
OCALA FL
34471-9566
US
V. Phone/Fax
- Phone: 480-652-8033
- Fax:
- Phone: 480-652-8033
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
J
GAROFOLO
Title or Position: PRESIDENT
Credential: DC
Phone: 480-652-8033