Healthcare Provider Details

I. General information

NPI: 1205253077
Provider Name (Legal Business Name): AKBER PEERANI I D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2014
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 W OAK RIDGE RD STE A
ORLANDO FL
32809-4765
US

IV. Provider business mailing address

1011 W OAK RIDGE RD
ORLANDO FL
32809-4765
US

V. Phone/Fax

Practice location:
  • Phone: 407-888-8411
  • Fax: 407-888-8371
Mailing address:
  • Phone: 407-888-8411
  • Fax: 407-888-8371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH11119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: