| NPI | 1174356505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHUNDA STANDIFER Admin 407-863-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor, Nutrition | |
| 111NR0200X Chiropractor, Radiology | |
| 111NX0100X Chiropractor, Occupational Health | |
| 111NX0800X Chiropractor, Orthopedic | |
| 207Q00000X Family Medicine | |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0200X Clinic/Center, Radiology | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-09-16 |