| NPI | 1104174226 |
|---|---|
| Former Legal Business Name | ATHLETIC & FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LAUREN E WADE Front Desk Manager 850-385-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006369) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |