MEDICARE: WEST OAK CHIROPRACTIC CARE, LLC.

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	HCC5032	FL

General Provider Information

NPI Number	:	1265563944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST OAK CHIROPRACTIC CARE, LLC.

Provider Business Mailing Address
First Line	:	PO BOX 585996
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32858-5996
Country	:	US
Telephone Number	:	407-292-6886
Fax Number	:	407-292-5165

Provider Business Practice Location Address
First Line	:	5401 ALHAMBRA DR STE C
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-7081
Country	:	US
Telephone Number	:	407-292-6886
Fax Number	:	407-292-5165

Authorized Official
Title or Position	:	OWNER
Name	:	JOHANNE ALEANDRE
Credential	:
Telephone Number	:	407-292-6886

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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