| 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 |