| NPI | 1114723541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED PATIRICK DELLA JACONO Owner 954-591-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2026-01-22 |