| NPI | 1154624047 |
|---|---|
| Doing Business As | HEALTHSOURCE OF LAKE MARY |
| Entity Type | Organization |
| Authorized Contact | LEONARD J SOLANO President/Owner 407-323-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH9551) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |