Provider Demographics
NPI:1245579523
Name:HOLLANDER, ALEX (DC)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:HOLLANDER
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 1:541 E HORATIO AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7316
Mailing Address - Country:US
Mailing Address - Phone:407-205-8206
Mailing Address - Fax:
Practice Address - Street 1:541 E HORATIO AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7316
Practice Address - Country:US
Practice Address - Phone:407-205-8206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHB353AMedicare PIN