| NPI | 1184080202 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KIMBERLY L BONDS Office Manager 352-375-6972  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0003135)  | 
| Enumeration Date | 2016-01-05 | 
| Last Update Date | 2016-01-05 |