Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | ME50169 | FL |
NPI | 1427286806 |
---|---|
Provider Name | Danny Jacomino |
First Address | Coral Gables, FL 33134-1402 |
Second Address | Coral Gables, FL 33134-1402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 24/06/2009 |