Organization
ELITE MEDICAL GRP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED TARIQ INSHAN DC (DC)
(407) 607-0099
Entity
Organization
Contact information
Practice address
280 PATTERSON RD STE 3, HAINES CITY, FL 33844-6261
(407) 607-0099
Mailing address
280 PATTERSON RD STE 3, HAINES CITY, FL 33844-6261
(407) 607-0099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/09/2020
Last updated
09/10/2020
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