Provider Demographics
NPI:1578779963
Name:PETER P ALONGI DC PA
Entity Type:Organization
Organization Name:PETER P ALONGI DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALONGI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-735-1400
Mailing Address - Street 1:3194 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3450
Mailing Address - Country:US
Mailing Address - Phone:954-735-1400
Mailing Address - Fax:954-735-1402
Practice Address - Street 1:3194 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3450
Practice Address - Country:US
Practice Address - Phone:954-735-1400
Practice Address - Fax:954-735-1402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 2579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL050165400Medicaid
FL89981OtherBLUE CROSSBLUE SHIELD
FLT56415Medicare UPIN
FL050165400Medicaid