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NPI Code Detail

MEDICARE: DR. MOHAMED TARIQ INSHAN D.C.

MEDICARE:  DR. MOHAMED TARIQ INSHAN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH 10519FL

General Provider Information

NPI Number : 1922372960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED TARIQ INSHAN D.C.
Provider Business Mailing Address
First Line : 4721 WINDSOR AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3554
Country : US
Telephone Number : 321-287-1996
Fax Number :
Provider Business Practice Location Address
First Line : 4721 WINDSOR AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32819-3554
Country : US
Telephone Number : 321-287-1996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2012
Last Update Date : 03/07/2012

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Directions to “ DR. MOHAMED TARIQ INSHAN D.C.” Practice Location

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