| NPI | 1023650595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY JOHNSON Owner 850-215-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2023-12-12 |