| NPI | 1073864435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A TOLISANO Partner 239-233-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6694) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6702) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-10-30 |