| NPI | 1205792405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MATIAS Owner 813-709-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2025-12-31 |