| NPI | 1174889471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY SHEA TOLLESON Manager 321-253-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch10205) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch10541) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |