| NPI | 1174899041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JACOBSON Owner 321-725-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: FL CH0004008) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |