Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | FL |
NPI | 1174726525 |
---|---|
Provider Name | Daniel F Eloi |
First Address | Fort Myers, FL 33901-8247 |
Second Address | Fort Myers, FL 33901-8247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2007 |
Last Update Date | 08/07/2007 |