Provider Demographics
NPI:1811172125
Name:ALADIN, WILDLIENE ABRAHAM
Entity type:Individual
Prefix:MRS
First Name:WILDLIENE
Middle Name:ABRAHAM
Last Name:ALADIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 WINDSOR ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-9624
Mailing Address - Country:US
Mailing Address - Phone:863-421-6401
Mailing Address - Fax:
Practice Address - Street 1:35902 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-3737
Practice Address - Country:US
Practice Address - Phone:863-421-1777
Practice Address - Fax:863-421-7070
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA21129111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation