NPI | 1124228796 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK CHRISTOPHER LEWIS Clinic Director 941-755-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 9288) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2009-04-30 |