Individual provider · Type 1 NPI
Georgi Stamatov Dimov, DC
Chiropractor · Port Orange, FL
NPI number
1326746777
Active
Practice location
5400 S Williamson Blvd Apt 2-201
Port Orange, FL 32128-6531
Mailing address
5400 S Williamson Blvd Apt 1-214
Port Orange, FL 32128-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA93347 (FL) |
| Chiropractor Primary | 111N00000X | CH14415 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1326746777
Georgi Stamatov Dimov, DC's National Provider Identifier is 1326746777, issued on Feb 15, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Sep 24, 2023.