Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5921 | FL |
NPI | 1003839523 |
---|---|
Provider Name | Robert L D'amora |
First Address | Coral Springs, FL 33071-8914 |
Second Address | Coral Springs, FL 33071-8914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
380698700 | (05) | FL |
U18356 | (02) | FL |