Individual provider · Type 1 NPI
Sage Mikayla Maiolo, DC
Chiropractor · Debary, FL
NPI number
1508553157
Active
Practice location
275 S Charles Richard Beall Blvd Ste 111A
Debary, FL 32713-3740
Mailing address
3330 Willow Oak Dr
Edgewater, FL 32141-6503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 14509 (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 1508553157
Sage Mikayla Maiolo, DC's National Provider Identifier is 1508553157, issued on Apr 21, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Debary, FL. The record was last updated on Apr 21, 2023.