| NPI | 1093874968 |
|---|---|
| Former Legal Business Name | BABY BOOMER CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN M. CARTER Owner 239-784-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9228) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2011-10-01 |