| NPI | 1073680088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNING C. BOLICK President 407-629-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-06-04 |