| NPI | 1184993511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADOMIR ROBERT ZIVKOVIC Owner/Chiropractor 904-278-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH4847) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH4708) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2015-12-16 |