Provider Demographics
NPI:1225566896
Name:INELUS, GESSIE (DC)
Entity Type:Individual
Prefix:DR
First Name:GESSIE
Middle Name:
Last Name:INELUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 N SR 434 STE 2065
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1006
Mailing Address - Country:US
Mailing Address - Phone:321-972-3999
Mailing Address - Fax:
Practice Address - Street 1:499 N SR 434 STE 2065
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-1006
Practice Address - Country:US
Practice Address - Phone:321-972-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor