Individual
DR. GEORGI STAMATOV DIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5400 S WILLIAMSON BLVD APT 2-201, PORT ORANGE, FL 32128-6531
(571) 426-6061
Mailing address
5400 S WILLIAMSON BLVD APT 1-214, PORT ORANGE, FL 32128-6502
(571) 426-6061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14415
FL
225700000X
Massage Therapist
MA93347
FL
Other
Enumeration date
02/15/2023
Last updated
09/24/2023
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