Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH11655 | FL |
NPI | 1326417809 |
---|---|
Provider Name | Mr. Alain Nicolas-David I |
First Address | Weston, FL 33326-2394 |
Second Address | Weston, FL 33326-2394 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2015 |
Last Update Date | 15/09/2015 |