Individual
CARLOS MOTA ANNEXY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
604 FRONT ST, KISSIMMEE, FL 34747-4675
(321) 939-2328
Mailing address
604 FRONT ST, KISSIMMEE, FL 34747-4675
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14781
FL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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