Individual
DR. ESMAEEL SAMALIAZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1953 COLONIAL BLVD, FORT MYERS, FL 33907-1302
(239) 277-9552
(239) 277-7366
Mailing address
1953 COLONIAL BLVD, FORT MYERS, FL 33907-1302
(239) 277-9552
(239) 277-7366
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381698200
—
FL
Enumeration date
05/23/2008
Last updated
03/18/2010
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