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 |