| NPI | 1013125715 |
|---|---|
| Doing Business As | CAFE OF LIFE |
| Entity Type | Organization |
| Authorized Contact | ELIAS FORMA Doctor 561-276-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7733) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |