Provider Demographics
NPI:1184853731
Name:ADVANCED CHIROPRACTIC CENTERS INC
Entity Type:Organization
Organization Name:ADVANCED CHIROPRACTIC CENTERS INC
Other - Org Name:SOUTH FLORIDA SPINE AND REHAB CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-947-6300
Mailing Address - Street 1:2050 NE 163RD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4903
Mailing Address - Country:US
Mailing Address - Phone:305-947-6300
Mailing Address - Fax:
Practice Address - Street 1:2050 NE 163RD ST FL 2
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4903
Practice Address - Country:US
Practice Address - Phone:305-947-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-03
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty