| NPI | 1922613637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED TARIQ INSHAN Dc 407-607-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-10 |