NPI | 1194771808 |
---|---|
Doing Business As | SAME |
Entity Type | Organization |
Authorized Contact | MICHAEL J DEMCHAK President 407-960-3775 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
225100000X Physical Therapist | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2013-06-28 |