Provider Demographics
NPI:1194867051
Name:TESTA, ALAN D (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:D
Last Name:TESTA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3581 SIMMS ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3103
Mailing Address - Country:US
Mailing Address - Phone:954-378-8285
Mailing Address - Fax:954-404-9530
Practice Address - Street 1:350 N PINE ISLAND RD
Practice Address - Street 2:200
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1849
Practice Address - Country:US
Practice Address - Phone:954-378-8285
Practice Address - Fax:954-404-9530
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9220111N00000X
GACHIR007500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor