Provider Demographics
NPI:1891151452
Name:STEVE ALUKONIS
Entity Type:Organization
Organization Name:STEVE ALUKONIS
Other - Org Name:SPACE COAST ADVACED HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALUKONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-425-2519
Mailing Address - Street 1:401 N WICKHAM RD STE U
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8659
Mailing Address - Country:US
Mailing Address - Phone:321-425-2519
Mailing Address - Fax:321-425-2523
Practice Address - Street 1:401 N WICKHAM RD STE U
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8659
Practice Address - Country:US
Practice Address - Phone:321-425-2519
Practice Address - Fax:321-425-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty