Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | PT26302 | FL |
NPI | 1366887341 |
---|---|
Provider Name | Sandra Cuik |
First Address | Hialeah Gardens, FL 33018-7403 |
Second Address | Hialeah Gardens, FL 33018-7403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2013 |
Last Update Date | 06/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT26302 | STATE LICENSE (01) | FL |