| |
2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 | |
(407) 622-6295 | |
(407) 622-2295 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2601 Wells Ave Ste 121, Fern Park, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598134181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH10950 (Florida) | Primary |
Mailing Address | Practice Location Address |
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2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 Ph: (407) 622-6295 | 2601 Wells Ave Ste 121, Fern Park, FL 32730-2000 Ph: (407) 622-6295 |
Dr. Mina Mikhail, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2601 Wells Ave Ste 121, Fern Park, FL 32730 Phone: 407-622-6295 Fax: 407-622-2295 |