Organization
CLUB SPIN
Active
Other names
SoMICA HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AINA (MANAGER)
(407) 259-9105
Entity
Organization
Contact information
Practice address
9318 E COLONIAL DR STE A11, ORLANDO, FL 32817-4175
(407) 259-9105
Mailing address
7810 JUBILEE PARK BLVD APT 125, ORLANDO, FL 32822-5196
(407) 259-9105
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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