Provider Demographics
NPI:1508021692
Name:OAKLAND CHIROPRACTIC CARE
Entity Type:Organization
Organization Name:OAKLAND CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:VALLORANI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-739-3455
Mailing Address - Street 1:2704 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1336
Mailing Address - Country:US
Mailing Address - Phone:954-739-3455
Mailing Address - Fax:954-777-2788
Practice Address - Street 1:2704 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311-1336
Practice Address - Country:US
Practice Address - Phone:954-739-3455
Practice Address - Fax:954-777-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3175261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service