| NPI | 1023162906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM RUSNAK Administrator 813-873-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL ch 5142) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-01-18 |