| NPI | 1104150366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO PEREZ President 850-385-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2013-02-27 |