Provider Demographics
NPI:1619082138
Name:CARLTON, ALENA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALENA
Middle Name:MARIA
Last Name:CARLTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 MANATEE AVE W STE L103
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-2364
Mailing Address - Country:US
Mailing Address - Phone:941-301-8323
Mailing Address - Fax:941-792-2800
Practice Address - Street 1:6400 MANATEE AVE W STE L103
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2364
Practice Address - Country:US
Practice Address - Phone:941-301-8323
Practice Address - Fax:941-792-2800
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88170Medicare PIN
FLU95170Medicare UPIN