| NPI | 1174543672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN WILLIAM MAMMALES Owner/Director 561-753-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8861) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |