Provider Demographics
NPI:1922306851
Name:GAY, MIYOASHI (DC)
Entity Type:Individual
Prefix:
First Name:MIYOASHI
Middle Name:
Last Name:GAY
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 1:2015 ERVING CIR
Mailing Address - Street 2:#5-303
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6827
Mailing Address - Country:US
Mailing Address - Phone:305-502-4725
Mailing Address - Fax:
Practice Address - Street 1:927 S GOLDWYN AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-4324
Practice Address - Country:US
Practice Address - Phone:407-574-8542
Practice Address - Fax:407-574-4582
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10139111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor