| NPI | 1194034397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY JOHNSON President 850-215-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL CH 10072) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2023-09-08 |