| NPI | 1003403452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA MEHNERT Office Manager 954-889-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |