Organization
ALIGN TO SHINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO LUIS BACALLAO DC (PD)
(754) 281-2443
Entity
Organization
Contact information
Practice address
1633 N HIATUS RD, PEMBROKE PINES, FL 33026-2129
(754) 281-2443
Mailing address
PO BOX 266544, WESTON, FL 33326-6544
(754) 281-2443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
FL
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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