Provider Demographics
NPI:1538379003
Name:ALLIANCE CHIROPRACTIC GROUP INC
Entity type:Organization
Organization Name:ALLIANCE CHIROPRACTIC GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADNER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-857-7223
Mailing Address - Street 1:2356 WEST OAKRIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809
Mailing Address - Country:US
Mailing Address - Phone:407-857-7223
Mailing Address - Fax:407-857-7553
Practice Address - Street 1:2356 W OAKRIDGE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809
Practice Address - Country:US
Practice Address - Phone:407-857-7223
Practice Address - Fax:407-857-7553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management