| NPI | 1083828511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARK LOVELL Owner 239-541-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 5345) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-09-11 |