Provider Demographics
NPI:1982382693
Name:FLOURISH CHIROPRACTIC & WELLNESS LLC
Entity Type:Organization
Organization Name:FLOURISH CHIROPRACTIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIROALO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-389-9656
Mailing Address - Street 1:24 E PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-2023
Mailing Address - Country:US
Mailing Address - Phone:201-389-9656
Mailing Address - Fax:
Practice Address - Street 1:24 E PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-2023
Practice Address - Country:US
Practice Address - Phone:201-389-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty