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Individual
DR. ELIAS FORMA
Active
Individual
DR. ELIAS FORMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C, DACADC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7733
FL
111N00000X
Chiropractor
CH7733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7733
FLORIDA LISENCE
FL
Enumeration date
07/03/2006
Last updated
08/28/2024
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