Provider Demographics
NPI:1255931457
Name:ARREDONDO, KRIZIA ALANA (DC)
Entity type:Individual
Prefix:
First Name:KRIZIA
Middle Name:ALANA
Last Name:ARREDONDO
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 1:7751 ALTAVAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8419
Mailing Address - Country:US
Mailing Address - Phone:321-352-1625
Mailing Address - Fax:
Practice Address - Street 1:2701 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-1214
Practice Address - Country:US
Practice Address - Phone:321-352-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor