NPI | 1063653707 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL JOHN ABENDROTH President 772-878-3955 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7777) |
Additional Taxonomies | 174400000X Specialist (Licence: FL PT20041) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2009-03-10 |