Provider Demographics
NPI:1992982359
Name:CREED, ALAN M (DC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:M
Last Name:CREED
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 PONCE DE LEON BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4007
Mailing Address - Country:US
Mailing Address - Phone:305-446-1718
Mailing Address - Fax:305-446-0498
Practice Address - Street 1:1427 PONCE DE LEON BLVD
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4007
Practice Address - Country:US
Practice Address - Phone:305-446-1718
Practice Address - Fax:305-446-0498
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor