| NPI | 1104530294 |
|---|---|
| Former Legal Business Name | WIEDNER FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | OLGA PURA VEIGA Billing/Insurance 772-781-1101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |