Provider Demographics
NPI:1699146068
Name:FLEMING, ALESHA (DC)
Entity type:Individual
Prefix:DR
First Name:ALESHA
Middle Name:
Last Name:FLEMING
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 1:1898 S CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1584
Mailing Address - Country:US
Mailing Address - Phone:386-872-7167
Mailing Address - Fax:
Practice Address - Street 1:1898 S CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-1584
Practice Address - Country:US
Practice Address - Phone:386-872-7167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11686111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor