Provider Demographics
NPI:1083802482
Name:ALFINI CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:ALFINI CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALFINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:863-993-3560
Mailing Address - Street 1:899 E OAK ST STE A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-4617
Mailing Address - Country:US
Mailing Address - Phone:863-993-3560
Mailing Address - Fax:863-993-3572
Practice Address - Street 1:899 E OAK ST STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-4617
Practice Address - Country:US
Practice Address - Phone:863-993-3560
Practice Address - Fax:863-993-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK2351OtherUPIN
FLK2351OtherUPIN
FLT39157Medicare UPIN