Provider Demographics
NPI:1982891412
Name:ALLIANCE HEALTH AND INJURY CENTER, INC.
Entity Type:Organization
Organization Name:ALLIANCE HEALTH AND INJURY CENTER, INC.
Other - Org Name:ALLIANCE HEALTH & INJURY CENTER, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:RAMBO
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:954-741-2622
Mailing Address - Street 1:7565 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4909
Mailing Address - Country:US
Mailing Address - Phone:954-741-2622
Mailing Address - Fax:954-380-8494
Practice Address - Street 1:7565 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4909
Practice Address - Country:US
Practice Address - Phone:954-741-2622
Practice Address - Fax:954-380-8494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8192111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88007OtherBC/BS
FLU99914OtherUPIN
FL1639232432OtherNPI
FL1639232432OtherNPI