| NPI | 1558796979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIAZ JALEEL Medical Director 407-240-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |