| NPI | 1134393804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MICHELLE JOHNSTON Chiropractic Physician 904-996-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8655) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL CH8655) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-10-06 |