Provider Demographics
NPI:1700916285
Name:VALLORANI, THOMAS EDWARD (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:EDWARD
Last Name:VALLORANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 LIME BAY BLVD APT 309
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-8685
Mailing Address - Country:US
Mailing Address - Phone:954-718-1910
Mailing Address - Fax:954-718-1910
Practice Address - Street 1:9201 LIME BAY BLVD APT 309
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-8685
Practice Address - Country:US
Practice Address - Phone:954-718-1910
Practice Address - Fax:954-718-1910
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor