Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH2585 | FL |
NPI | 1235276874 |
---|---|
Provider Name | Mark D. Chariff |
First Address | Miami Lakes, FL 33014-2077 |
Second Address | Miami Lakes, FL 33014-2077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 31/08/2010 |