NPI | 1205068202 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL FRANK RADICE Owner/Chiropractor 813-968-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8619) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2022-01-24 |