NPI | 1033312327 |
---|---|
Entity Type | Organization |
Authorized Contact | LEMUEL FELIPE President 813-877-6714 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 2058) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 456884) |
225700000X Massage Therapist (Licence: FL MA 33112) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2020-08-22 |