| NPI | 1093862401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE LEE COLVIN Chiropractor Neurology 850-784-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH7828) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-06-05 |