Healthcare Provider Details

I. General information

NPI: 1639921984
Provider Name (Legal Business Name): ALORA HEALTH, WELLNESS & AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 W 1ST SQ SW
VERO BEACH FL
32968-2256
US

IV. Provider business mailing address

5720 W 1ST SQ SW
VERO BEACH FL
32968-2256
US

V. Phone/Fax

Practice location:
  • Phone: 614-556-8886
  • Fax: 361-360-6589
Mailing address:
  • Phone: 614-556-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARISSA WRIGHT
Title or Position: APRN
Credential: APRN
Phone: 614-556-8886