Provider Demographics
NPI:1215606249
Name:WHERE SPINES ALIGN CHIROPRACTIC
Entity Type:Organization
Organization Name:WHERE SPINES ALIGN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-970-2211
Mailing Address - Street 1:1770 SAN MARCO RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-5138
Mailing Address - Country:US
Mailing Address - Phone:239-970-2211
Mailing Address - Fax:
Practice Address - Street 1:1770 SAN MARCO RD STE 203
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-5138
Practice Address - Country:US
Practice Address - Phone:239-970-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty