Provider Demographics
NPI:1245798198
Name:FLOREK FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FLOREK FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FLOREK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-441-6100
Mailing Address - Street 1:725 ALEXANDRIA PIKE STE 240
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2169
Mailing Address - Country:US
Mailing Address - Phone:859-441-6100
Mailing Address - Fax:859-441-6300
Practice Address - Street 1:725 ALEXANDRIA PIKE STE 240
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2169
Practice Address - Country:US
Practice Address - Phone:859-441-6100
Practice Address - Fax:859-441-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty