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Individual

MR. HOMAYOUN BIDABADI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1890 SW HEALTH PARKWAY, # 204, NAPLES, FL 34109
(239) 596-1601
(239) 596-9622
Mailing address
1890 SW HEALTH PARKWAY, # 204, NAPLES, FL 34109
(239) 596-1601
(239) 596-9622

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7384
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59 365400
TAX ID
FL
Enumeration date
01/03/2006
Last updated
07/08/2007
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