Organization
HEALTHY SPINE AND MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIAZ JALEEL M.D (MEDICAL DIRECTOR)
(407) 240-0661
Entity
Organization
Contact information
Practice address
11364 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-9426
(407) 240-0661
Mailing address
11364 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-9426
(407) 240-0661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NX0800X
Orthopedic Chiropractor
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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