| NPI | 1144098724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MCCUNE CEO 850-741-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-09-09 |