Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | CH11020 | FL |
NPI | 1952780843 |
---|---|
Provider Name | Dr. Mali Khalil Lutfi |
First Address | Orlando, FL 32828-9046 |
Second Address | Orlando, FL 32828-9046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2015 |
Last Update Date | 25/05/2015 |