Provider Demographics
NPI:1225223811
Name:CHALENE A CANALI D C P A
Entity Type:Organization
Organization Name:CHALENE A CANALI D C P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWE
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANALI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-284-7223
Mailing Address - Street 1:7700 SW 173RD ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4843
Mailing Address - Country:US
Mailing Address - Phone:305-235-6602
Mailing Address - Fax:305-669-9696
Practice Address - Street 1:6601 SW 80TH ST
Practice Address - Street 2:SUITE 200A
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4661
Practice Address - Country:US
Practice Address - Phone:305-284-7223
Practice Address - Fax:305-669-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381995700Medicaid
FLT38556OtherUPIN
FLK5045Medicare PIN