| NPI | 1144625724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLT MITCHELL ANDREA President 904-600-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10319) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2021-11-24 |