NPI | 1033365770 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID B BASS President 954-649-6540 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH3178) |
Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: FL CH3178) |
Enumeration Date | 2008-08-13 |
Last Update Date | 2008-08-13 |