Provider Demographics
NPI:1326417809
Name:NICOLAS-DAVID, ALAIN (DC)
Entity Type:Individual
Prefix:MR
First Name:ALAIN
Middle Name:
Last Name:NICOLAS-DAVID
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 1:10368 W STATE ROAD 84 STE 104
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4242
Mailing Address - Country:US
Mailing Address - Phone:954-914-8765
Mailing Address - Fax:
Practice Address - Street 1:10368 W STATE ROAD 84 STE 104
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4242
Practice Address - Country:US
Practice Address - Phone:954-659-9446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11655111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation