| NPI | 1083038954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CARROLL Office Rep 352-678-3092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2022-07-21 |