MEDICARE: ALL HEALTH CHIROPRACTIC CENTER, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0006107	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	L85835	OTHER	FL	CORPORATION,SUB S
2	22503	OTHER	FL	CHIROPRACTOR

General Provider Information

NPI Number	:	1043330079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HEALTH CHIROPRACTIC CENTER, P.A.

Provider Business Mailing Address
First Line	:	6872 NW 169TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4210
Country	:	US
Telephone Number	:	305-828-6767
Fax Number	:	305-828-1912

Provider Business Practice Location Address
First Line	:	6872 NW 169TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-4210
Country	:	US
Telephone Number	:	305-828-6767
Fax Number	:	305-828-1912

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER B. HAMALIAN
Credential	:	D.C
Telephone Number	:	305-828-6767

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	08/22/2020

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