| NPI | 1073855086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM STOUT President 813-787-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9983) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10219) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2016-12-08 |