Organization
ALAFAYA CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALLEN INDERWIESEN D.C. (PRESIDENT)
(407) 281-0900
Entity
Organization
Contact information
Practice address
11905 E COLONIAL DR, ORLANDO, FL 32826-4725
(407) 281-0900
(407) 281-0900
Mailing address
11905 E COLONIAL DR, ORLANDO, FL 32826-4725
(407) 281-0900
(407) 281-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 5802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22661
BLUE CROSS AND BLUE SHIELD OF FLORIDA
FL
05
—
381458100
—
FL
Enumeration date
12/07/2011
Last updated
12/07/2011
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