| NPI | 1205351863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN F SOUTHALL Owner/Chiropractor 850-990-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2292) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |