NPI | 1104174432 |
---|---|
Former Legal Business Name | CORNELIUS J. MCGEEHAN D.C., INC. |
Entity Type | Organization |
Authorized Contact | CORNELIUS J MCGEEHAN President 727-937-4223 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ch1619) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |