| NPI | 1780214999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED INSHAN Owner 813-374-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |