Organization
THE HEADACHE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AAMIR SHAHID KHATTAK (CREDENTIALING MANAGER)
(800) 000-0000
Entity
Organization
Contact information
Practice address
1942 W COUNTY ROAD 419 STE 1050, CHULUOTA, FL 32766-9024
(321) 451-2576
(407) 255-2361
Mailing address
1942 W COUNTY ROAD 419 STE 1050, CHULUOTA, FL 32766-9024
(321) 451-2576
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
12/01/2023
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