| NPI | 1083912489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M SANDERS Owner/Chiropractic Physician 904-744-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8174) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2012-01-06 |