Provider Demographics
NPI:1518787969
Name:MONDINA, ALEISHA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ALEISHA
Middle Name:MARIE
Last Name:MONDINA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15049 BRUCE B DOWNS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1388
Mailing Address - Country:US
Mailing Address - Phone:813-563-7668
Mailing Address - Fax:
Practice Address - Street 1:725 HARBOUR POST DR APT 2207
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6757
Practice Address - Country:US
Practice Address - Phone:443-474-0823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor