| NPI | 1114255882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SAMUEL LAWRENCE Owner/President 561-965-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH1358) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH0001358) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2011-10-06 |