Provider Demographics
NPI:1043330079
Name:ALL HEALTH CHIROPRACTIC CENTER, P.A.
Entity Type:Organization
Organization Name:ALL HEALTH CHIROPRACTIC CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAMALIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-828-6767
Mailing Address - Street 1:6872 NW 169TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4210
Mailing Address - Country:US
Mailing Address - Phone:305-828-6767
Mailing Address - Fax:305-828-1912
Practice Address - Street 1:6872 NW 169TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4210
Practice Address - Country:US
Practice Address - Phone:305-828-6767
Practice Address - Fax:305-828-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL85835OtherCORPORATION,SUB S
FL22503OtherCHIROPRACTOR
FLU26239Medicare UPIN