Provider Demographics
NPI:1508567454
Name:ALIGN AND FLOW CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALIGN AND FLOW CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CONNOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-551-3346
Mailing Address - Street 1:400 NE 3RD AVE APT 3504
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-4122
Mailing Address - Country:US
Mailing Address - Phone:781-974-3696
Mailing Address - Fax:
Practice Address - Street 1:805 E BROWARD BLVD STE 301C
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2046
Practice Address - Country:US
Practice Address - Phone:954-551-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty