Provider Demographics
NPI:1760196059
Name:ACEVEDO FIGUEROA, ALANIS CHRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:ALANIS
Middle Name:CHRISTINA
Last Name:ACEVEDO FIGUEROA
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 1:8839 CYPRESS HAMMOCK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1952
Mailing Address - Country:US
Mailing Address - Phone:787-585-0259
Mailing Address - Fax:
Practice Address - Street 1:15989 PRESERVE MARKETPLACE BLVD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-5509
Practice Address - Country:US
Practice Address - Phone:813-749-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor