Provider Demographics
NPI:1679750822
Name:A L P CHIROPRACTIC & ORTHOTIC CENTER INC
Entity Type:Organization
Organization Name:A L P CHIROPRACTIC & ORTHOTIC CENTER INC
Other - Org Name:A L P ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PALLADINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-927-2715
Mailing Address - Street 1:5531 MARQUESAS CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3332
Mailing Address - Country:US
Mailing Address - Phone:941-927-2715
Mailing Address - Fax:941-927-2615
Practice Address - Street 1:5531 MARQUESAS CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-3332
Practice Address - Country:US
Practice Address - Phone:941-927-2715
Practice Address - Fax:941-927-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8248111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6387050001Medicare NSC
FLU89173Medicare UPIN