=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578779963
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PETER P ALONGI DC PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2007
-----------------------------------------------------
Last Update Date | 01/19/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3194 W COMMERCIAL BLVD
-----------------------------------------------------
City | FT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33309-3450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-735-1400
-----------------------------------------------------
Fax | 954-735-1402
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3194 W COMMERCIAL BLVD
-----------------------------------------------------
City | FT LAUDERDALE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33309-3450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-735-1400
-----------------------------------------------------
Fax | 954-735-1402
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. PETER P ALONGI
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 954-735-1400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH 2579
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------