| NPI | 1205021409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES DURANT President 386-255-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0006099) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |