Provider Demographics
NPI:1831259928
Name:BRIGANDO-ALCICEK, NATALIE FRANCES (DC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:FRANCES
Last Name:BRIGANDO-ALCICEK
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 1:2815 DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904
Mailing Address - Country:US
Mailing Address - Phone:321-614-4465
Mailing Address - Fax:321-422-4083
Practice Address - Street 1:2087 SARNO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935
Practice Address - Country:US
Practice Address - Phone:321-614-4465
Practice Address - Fax:321-422-4083
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU4452BMedicare PIN