| NPI | 1205087749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON A GRIFFIN President/Owner/Physician 772-978-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7473) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2009-11-17 |