| NPI | 1104338631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B BURKE Credentialing Manager 954-571-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8855) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |