| NPI | 1124497417 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SEYED HESSAM KHATAMI President 561-995-0136 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT15792) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner | 
| 111N00000X Chiropractor (Licence: FL CH9743) | |
| 111N00000X Chiropractor (Licence: FL CH11831) | |
| 111N00000X Chiropractor (Licence: FL CH11942) | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2015-09-17 | 
| Last Update Date | 2022-01-04 |