| NPI | 1174712665 |
|---|---|
| Doing Business As | SE LAKELAND CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | HANK DE POLO Owner/President 863-648-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch3543) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-12-14 |