| NPI | 1114350097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA LYNN PORTER Chiropractic Physician/Owner 386-316-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL CH10961) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2020-05-06 |