Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH10297 | FL |
NPI | 1003108283 |
---|---|
Provider Name | Suzanna El-Yazigi |
First Address | Jacksonville, FL 32223-8637 |
Second Address | Jacksonville, FL 32223-8637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 09/01/2019 |