Individual provider · NPI-1

Dr. Ida Faith Abraham, D.C

Chiropractor · Lakeland, FL

NPI number1639515893
StatusActive
Last updated in NPPESJun 8, 2017

Details

NPI
1639515893
Entity type
Individual (NPI-1)
Name
Dr. Ida Faith Abraham
Credential
D.C
Sex
Female
Sole proprietor
Yes
Enumeration date
May 15, 2013
Last updated
Jun 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor12112FLYes

Practice location

4788 S Florida Ave
Lakeland, FL 33813-2181

Phone 863-682-1170 · Fax 863-682-1084

Mailing address

4788 S Florida Ave
Lakeland, FL 33813-2181

Phone 863-682-1170 · Fax 863-682-1084

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