| NPI | 1215447438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MOORE Partner 479-466-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH11081) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9865) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |