Provider Demographics
NPI:1649949793
Name:MOJICA ASENCIO, LIZ Y (DC)
Entity type:Individual
Prefix:DR
First Name:LIZ
Middle Name:Y
Last Name:MOJICA ASENCIO
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 1:14051 SOBRADO DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4775
Mailing Address - Country:US
Mailing Address - Phone:860-877-5678
Mailing Address - Fax:
Practice Address - Street 1:14051 SOBRADO DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-4775
Practice Address - Country:US
Practice Address - Phone:860-877-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-11
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13157111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor