| NPI | 1144458480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIADH A FAKHOURY Owner 352-351-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH4912) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8727) |
| 171100000X Acupuncturist (Licence: FL AP2307) | |
| 174400000X Specialist (Licence: FL ME95990) | |
| 111N00000X Chiropractor (Licence: FL CH10017) | |
| 111N00000X Chiropractor (Licence: FL CH9421) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: FL ME49250) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-10-19 |