| NPI | 1093256455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CANTOR Manager 561-750-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-20 |