| NPI | 1124533856 |
|---|---|
| Doing Business As | ADVANCED HEALTHCARE PHYSICAL MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW W FENTRESS Owner 386-673-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL CH11802FL) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |