Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH13881 | FL |
NPI | 1003567561 |
---|---|
Provider Name | Anita Raghubir |
First Address | Miami, FL 33174-1987 |
Second Address | Celebration, FL 34747-1818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2022 |
Last Update Date | 15/01/2022 |