Provider Demographics
NPI:1902088818
Name:ATLANTIC AVENUE CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:ATLANTIC AVENUE CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HLINKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-278-8382
Mailing Address - Street 1:110 E ATLANTIC AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-3746
Mailing Address - Country:US
Mailing Address - Phone:561-278-8382
Mailing Address - Fax:561-278-8856
Practice Address - Street 1:110 E ATLANTIC AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3746
Practice Address - Country:US
Practice Address - Phone:561-278-8382
Practice Address - Fax:561-278-8856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007130111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty