| NPI | 1053071779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BYRON Partner 352-376-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-06-09 |