Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | FL |
NPI | 1073632436 |
---|---|
Provider Name | Mr. Evens Vilsaint |
First Address | Orlando, FL 32811-2322 |
Second Address | Orlando, FL 32818-6829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/04/2008 |